S Rajasekaran, S R Sabapathy, J Dheenadhayalan, S R Sundararajan, H Venkatramani, A Devendra, P Ramesh, K P Srikanth
INTRODUCTION: Open injuries of the limbs offer challenges in management as there are still many grey zones in decision making regarding salvage, timing and type of reconstruction. As a result, there is still an unacceptable rate of secondary amputations which lead to tremendous waste of resources and psychological devastation of the patient and his family. Gustilo Anderson's classification was a major milestone in grading the severity of injury but however suffers from the disadvantages of imprecise definition, a poor interobserver correlation, inability to address the issue of salvage and inclusion of a wide spectrum of injuries in Type IIIb category...
February 2015: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society