Clint et al proposed the good, bad and ugly classification scheme for reactions about pins used for a ring fixator. The authors are from the Royal National Orthopaedic Hospital in England.
Parameters:
(1) erythema
(2) pain
(3) discharge
Parameter
Finding
Designation
erythema
none or minimal
good
moderate (greater than pin diameter)
bad
extensive (extends away from the pin)
ugly
pain
none
good
on palpation or percussion of pin
bad
at rest
ugly
discharge
none or minimal serous oozing
good
serous discharge that requires dressing changes
bad
heavy discharge or frank pus
ugly
Usually a pin will show all 3 parameters with the same designation.
If a pin shows 2 separate designations, then final designation is the one with 2 parameters meeting its criteria.
Alternatively points could be assigned, for example good = 0, bad = 1 and ugly =2. The maximum score would be 6.
To read more or access our algorithms and calculators, please log in or register.
