Ganga Open Injury Score

A score to prognosticate limb salvage and outcome measures in Grade III B

Ganga Hospital Open Injury Score ( GHOISS ) is a score developed to prognosticate limb salvage and outcome measures in Type III B Open tibial fractures . A Type III B Injury involves injury to :

1) Covering tissues,

2) Functional tissues and

3) Bones.

A true prognosticating score must evaluate each component separately and also collectively and GHOISS was developed to fulfill this criteria . The score was developed after systematic review of 88 Open Injury cases of the lower limb and their 5 year follow up at Ganga Hospital, Coimbatore .

Advantages of GHOISS :

1) It acts as a predictable single scoring system for limb salvage and gives guidelines for management

2) It has a very high inter-observer agreement rate

3) It evaluates the severity of injury to each component

4) Co-morbid factors are also included to evaluate the outcome

5) Has a high degree of sensitivity and specificity in guiding towards salvaging or amputating the injured limb