From: Management of high-energy tibial shaft fractures using the hexapod circular external fixator
Excellent | Good | Fair | Poor | Failure | ||
---|---|---|---|---|---|---|
ASAMI | Bone grade | 31 | 3 | 0 | 0 | – |
Function grade | 27 | 6 | 1 | 0 | 0 | |
ASAMI criteria | ||||||
Bone results | ||||||
Excellent: Union, no infection, deformity < 7°, limb length discrepancy (LLD) < 2.5 cm | ||||||
Good: Union plus any two of the following: absence of infection, deformity < 7°, LLD < 2.5 cm | ||||||
Fair: Union plus any one of the following: absence of infection, deformity < 7°, LLD < 2.5 cm | ||||||
Poor: Nonunion/refracture/union plus infection plus deformity > 7° plus LLD > 2.5 cm | ||||||
Functional results | ||||||
Excellent: Active, no limp, minimum stiffness (loss of < 15°knee extension/ < 15°ankle dorsiflexion) no reflex sympathetic dystrophy (RSD), insignificant pain | ||||||
Good: Active, with one or two of the following: limb, stiffness, RSD, significant pain | ||||||
Fair: Active, with three or all of the following: limb, stiffness, RSD, significant pain | ||||||
Poor: Inactive (unemployment or inability to return to daily activities because of injury) | ||||||
Failure: Amputation |