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Table 2 Association for the Study and Application of the Method of Ilizarov (ASAMI) classification

From: Early definitive internal fixation for infected nonunion of the lower limb

 

Bony results

Functional results

Excellent

Union, no infection, deformity < 7°, and limb length discrepancy < 2.5 cm

Active, no limp, minimum stiffness (loss < 15° knee extension/15° ankle dorsiflexion), reflex sympathetic dystrophy (RSD), and insignificant pain

Good

Union + any two of the following: absence of infection, deformity < 7°, and limb length discrepancy of 2.5 cm

Active with one or two of the following: limp, stiffness, RSD, and significant pain

Fair

Union + one of the following: absence of infection, deformity < 7°, and limb length discrepancy of 2.5 cm

Active with three or all of the following: limp, stiffness, RSD, and significant pain

Poor

Nonunion/re-fracture/union + infection + deformity of 7° + limb length discrepancy of 2.5 cm

Inactive (unemployment or inability to return to daily activities due to injury)