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Injury Severity Score (ISS)
41%
896/2181
Glascow Coma Scale (GCS)
898/2181
Timing of knee reconstruction
5%
105/2181
Number of ligaments reconstructed
6%
122/2181
Open ligament reconstruction
7%
144/2181
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Figure A shows a knee dislocation with cruciate ligament avulsion injuries. Development of significant heterotopic ossification (HO) formation has been shown to be most directly correlated to the ISS score. Mills and Tejwani looked at multiple variables including injury severity score (ISS), Glascow coma scale (GCS), closed head injury (CHI), timing of surgery (> or < 3 weeks) and type of surgery (open vs. arthroscopic, number of ligaments reconstructed) in its relation to the formation of HO following knee dislocation. In the final group the sensitivity and specificity of the ISS in relation to HO formation was 100%, while presence of CHI had a specificity of 97%. Timing, type of surgery and approach did not influence HO formation.
1.5
(107)
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