EVALUATION OF NEW SCORING SYSTEM COMPARED TO A GOLD STONE METHOD FOR PREDICTING THE OCCURRENCE OF DEEP INFECTION IN OPEN FRACTURES PATIENTS

Dr. Mukul Gupta; Dr. Sunil Aswani

Volume : IX, Issue : VIII, August - 2019

EVALUATION OF NEW SCORING SYSTEM COMPARED TO A GOLD STONE METHOD FOR PREDICTING THE OCCURRENCE OF DEEP INFECTION IN OPEN FRACTURES PATIENTS

Dr. Mukul Gupta, Dr. Sunil Aswani

Abstract :

Background: The management of open fractures had been improved by early adequate surgical deidement and various types of fracture fixation. The Gustilo classification is commonly used for treatment decisions and comparison. Although it had a good prediction power for deep infection but the variability among the inter observer was a problem. Yokoyama et al., 2009 he had advised a new scoring system based on three items of HFS–98 to predicting significant deep infections in open upper and lower extremity fractures. Methods: Patients with open fractures of long bones were included in study. The patients were classified according to the criteria proposed by Gustilo classification & Yokoyama’s new scoring system. The relationship between the new score three items were investigated by categorical regression multivariate analysis. Results: In this study, we had 183 Patients with open fractures of long bones. Road traffic accidents were the mechanism of injury in (56.70%). Deep infection was positive in 70/233 patients with Gustilo GI. The cut–off point of application of Yokoyama’s new scoring system was 30, Sensitivity; 63.3%, Specificity; 89%, significant P–value <0.001. Conclusions: The cut–off point of the new Yokoyama’s new scoring application in this study very little different from the reported applicable values before. This revised scoring system was thought to be useful for predicting deep. Further prospective trial is needed for advising new scoring system.