The mangled extremity severity score (MESS) is a scoring system that can be applied to mangled extremities and help one determine which mangled limbs will . Mangled Extremity Severity Score (MESS). Introduction. used to predict necessity of amputation after lower extremity trauma. Variables. skeletal. fractures, soft tissue damage, vascular, nerve and tendon lesions. The Mangled Extremity Severity Score (MESS) is probably the most common scoring system.

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Mangled Extremity Severity Score (MESS Score) – MDCalc

Arterial injury in the lower limb from blunt trauma. Six months were selected as the end point because patients who had amputation after that time would be most likely to have had major complications or intolerance to additional reconstruction efforts or both. Advice All patients with significant trauma require a thorough trauma assessment and resuscitation. Bondurant et al from Houstonand led to a retrospective analysis of such patients to discern whether objective clinical and demographic data available early in such patients’ course might predict the likelihood of success vs.

How important is this topic for clinical practice? Nil Conflict of Interest: Objective criteria accurately predict amputation following lower extremity trauma. Trauma victims require management of significant craniocerebral, thoracic, abdominal, and pelvic injuries prior to consideration of limb salvage.

Journal List Indian J Orthop v. There were 15 Results of the present study are consistent with the western and Indian studies [ Table 3 ]. A retrospective evaluation of the mangled extremity severity score. I do not believe MESS should be considered dependable, and therefore utilized for decision-making, in kids, in upper extremity trauma or to predict longterm functional outcomes.


What can be said about his outcome at 2 years if he chooses reconstruction over amputation? They concluded that the MESS was an early and accurate predictor for identifying the extremities that may be treated by amputation. A successful salvage limb was defined as an extremity that remained in the limb salvage and reconstruction pathway six months after injury.

Trauma Scoring Systems

Evaluation and general management of patients with and at risk mabgled AKI. Study year Patients limbs Follow-up period Result Johansen et al. CT Kangled Index Pancreatitis Predict complication and mortality rate in pancreatitis, based on CT findings Balthazar score Expected spleen size Provides upper limit of normal for spleen length and volume by ultrasound relative to body height and gender. They concluded that MESS is not sufficiently precise to allow the decision regarding amputation to be made at the initial operation.

Enter your email address and we’ll send you a link to reset your password. MESS could provide an early prognosis on the injured limb at time of Emergency Department or initial contact with healthcare system. Serial debridements were carried out every two to four days when required. In the prospective study, maximum period of follow-up was 28 months and minimum period was two months. MESS was done at the time of admission extremty on the operation table, according to Table 1.

Med treatment and more Treatment. Low energy stab, gunshot, simple fracture. In the prospective study 4.


Xcore 25 and prospectively 36 lower limbs in 58 patients with high-energy injuries were evaluated with the use of MESS, to assist in the decision-making process for the care of patients with such injuries. Mitral Valve Area Hakki. Calc Function Calcs that help predict probability of a disease Diagnosis.

Table 3 Comparison of results with other studies. National Center for Biotechnology InformationU. He is also a clinical professor of surgery at the University of Washington School of Medicine.

Mangled Extremity Severity Score (MESS)

After initial stabilization and resuscitation in the Emergency Department, urgent orthopedics consultation or transfer to a higher level of care is critical as time of ischemia plays a significant role in the MESS. J Bone Joint Surg Am.

In spite of best attempts, the functional results are often worse than an amputation. HPI – 17M involved in car accident. Similar results are also found by Lin et al.

Trauma Scoring Systems – Trauma – Orthobullets

This experience reflected recent observations from other trauma centers e. Duke Criteria for Endocarditis Diagnose endocarditis Lund-Mackay Sinusitis Stage Assess severity of chronic rhinosinusitis and assess response to therapy. Please login to add comment.

Vascular repair, if indicated, and primary fracture alignment and stabilization were carried out.