GHOISS

Covering Tissues : Skin and Fascia

Example

Description

Without Skin Loss - Wounds not over the fracture site

Score : 1
Example

Description

Without Skin Loss - Wounds over the fracture site

Score : 2
Example

Description

With Skin Loss - Wounds not over the fracture site

Score : 3
Example

Description

With Skin Loss - Wounds over the fracture site

Score : 4
Example

Description

Circumferential wound with skin loss

Score : 5

Musculo-Tendinous, Nerve

Example

Description

Exposure of MT units without direct damage

Score : 1
Example

Description

Repairable injury to a MT unit

Score : 2
Example

Description

Crushing with loss or irreparable damage to MT unit/Repairable injury to a nerve

Score : 3
Example

Description

Loss of one compartment of MT unit / Irreparable injury to a nerve

Score : 4
Example

Description

Loss of two or more compartments / Subtotal amputation

Score : 5

Bone and Joints

Example

Description

Transverse or Oblique fractures with minimal periosteal stripping

Score : 1
Example

Description

Presence of unicortical comminution

Score : 2
Example

Description

Extensive periarticlular comminution with joint disorganization/ Segmental fracture

Score : 3
Example

Description

Circumferential bone loss of less than 4 cm

Score : 4
Example

Description

Circumferential bone loss of more than 4 cm

Score : 5

Co-morbid factors influencing outcome(Two points each)

Note : Please Tick all Co-morbid factors present

None
Injury to debridement time interval >12 hours.
Sewage or organic contamination or farmyard injuries.
Age > 65 years.
Drug dependent diabetes or cardiorespiratory diseases leading to increased anaesthetic risk.
Polytrauma with Injury Severity Score > 25 or Fat Embolism.
Hypotension with systemic blood pressure less than 90mmHg at the time of presentation.
Another injury to the same limb or compartment sundrome.