The Corelation Between Ghoiss and Mess Score to Assess the Salvageability Outcomes of Patients With Vascular Injury.

Abstract

Introduction: Fractures with vascular injuries are often complicated with risk to limb survival and life. To quantify the severity of trauma and determine salvageability of the limb many numerical guidelines are available. Current study aims to assess salvageability of a limb with vascular injury at admission by using GHOISS and MESS score and determine correlation between them. A total of 50 patients Materials And Methods: with type IIIB with vascular injury were taken into study over a period of 18 months. Decision regarding limb salvage or amputation was taken by team of experienced orthopaedic and plastic surgeons and informed consent of patients were taken. Another study team independently calculated the GHOISS & MESS score of each patient and sensitivity, specicity ,PPV and NPV of each score were calculated. Both scores were compared using ROC(receiver operating characteristic) curve and Area under the curve. The sens Results: itivity and specicity of GHOISS were calculated as 61.90% and 100% respectively. . The sensitivity and specicity of MESS Score were calculated at 96.30% and 78.30% respectively. Conclusion: The GHOISS is more specic for amputation compared to MESS score. While MESS score has more sensitivity compared to GHOISS. GHOISS is better than MESS for predicting salvageability for open fractures. But score at which decision of salvage is determined needs further verication by multicentric study with larger population.