Mangled Extremity Severity Score in the Assessment of Extremity Injuries – Is it Reliable?
| Autor: | Ehab M. Abdo, Nehal Farouk, Sameh E. EIimam, Waleed E. Elshinawy, Abdelaziz A. Abdelhafez, Mohamed Hamza, Asmaa A. Dahy, Ahmed Abu-Elsoud |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Vascular and Endovascular Surgery. :153857442311520 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/15385744231152024 |
| Popis: | The mangled extremity severity score (MESS) was established 28 years ago to decide performing an amputation in cases of limb trauma. It assigns points for 4 aspects of the injury: the extent of soft tissue and skeletal injury, limb ischemia and ischemic duration, shock, and age. A score of 7 or higher indicates that primary amputation is required. Thirty-one patients with MESS scores of 7 to 8 underwent limb salvage surgeries, with 13 limbs being saved and 18 limbs being amputated. Upper extremities trauma had a salvage rate of 62.5%, whereas lower extremity trauma had a salvage rate of 20%. MESS is not a sensitive predictor of amputation in upper limb trauma, but it is useful in lower limb injuries. |
| Databáze: | OpenAIRE |
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