@article{ref1,
title="Mangled Extremity Severity Score in the assessment of extremity injuries - is it reliable?",
journal="Vascular and endovascular surgery",
year="2023",
author="Abdo, Ehab M. and Farouk, Nehal and EIimam, Sameh E. and Elshinawy, Waleed E. and Abdelhafez, Abdelaziz A. and Hamza, Mohamed and Dahy, Asmaa A. and Abu-Elsoud, Ahmed",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="1538-5744",
doi="10.1177/15385744231152024",
url="http://dx.doi.org/10.1177/15385744231152024"
}