Which is the best score and classification system for complex injuries of the limbs? Some recommendations based on a systematic  literature review

ConclusionsThe results of literature review showed that to date, there is no ideal classification for complex limb injuries and that even the most recently published recommendations use classifications that present important drawbacks. For complex trauma of the upper limb, the available classifications are even more incomplete. A multidisciplinary judgment, of both orthopedic and plastic surgeons on used score and classification systems, may give the patient an accurate reconstructive surgical treatment. As for amputative and sub-amputative trauma of the lower limb, the authors exhort to include the possibility of restoring plantar sensitivity in the factors to be used for decision-making. For the upper limb, they recommend to always check for the presence of a double level nerve injury; if the patient has suffered a preganglionic lesion of the brachial plexus, this may represent a contraindication to reimplant.Level of Evidence: Not gradable.
Source: European Journal of Plastic Surgery - Category: Cosmetic Surgery Source Type: research