The validity of the mangled extremity severity score in the assessment of upper limb injuries-Reference-Cited by-同舟云学术

The validity of the mangled extremity severity score in the assessment of upper limb injuries

Published:2005-11 Issue:11 Volume:87-B Page:1516-1519
ISSN:0301-620X
Container-title:The Journal of Bone and Joint Surgery. British volume
language:en
Short-container-title:The Journal of Bone and Joint Surgery. British volume

Author:

Togawa S.¹,Yamami N.²,Nakayama H.¹,Mano Y.¹,Ikegami K.³,Ozeki S.⁴

Affiliation:

1. Department of Hyperbaric Medicine

2. Graduate School of Health Science, Tokyo Medical and Dental University Hospital Faculty of Medicine, 1-5-45 Yushima Bunkyo-Ku, Tokyo 113-5819, Japan.

3. Trauma and Critical Care Center

4. Department of Orthopaedics, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minami-Koshigaya, Koshigaya-city Saitama 343-8555, Japan.

Abstract

The Mangled Extremity Severity Score (MESS) may be used to decide whether to perform amputation in patients with injuries involving a limb. A score of 7 points or higher indicates the need for amputation. We have treated three patients with a MESS of 7 points or higher, in two of which the injured limb was salvaged. This scoring system was originally devised to assess injuries to the lower limb. However, a MESS of 7 points as a justification for amputation does not appear appropriate when assessing injuries to the major vessels in the upper limb.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

Link

https://online.boneandjoint.org.uk/doi/pdf/10.1302/0301-620X.87B11.16512

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