The Mangled Extremity Severity Score (MESS) estimates viability of an extremity after trauma to determine need for salvage versus empiric amputation.

The definition of a mangled extremity is a limb with an injury to at least three out of four systems (soft tissue, bone, nerves, and vessels). Mangled extremities have historically been associated with very high amputation rates.

Attempting to salvage a functionless extremity. Attempting to salvage a limb that contributes to the patient's demise. (Bondurant et al, 1988) “Saving” a limb may ruin a life... What are the variables? Get to know the injury... What is the problem? What can we repair/replace? Can We Solve This Problem? Working? Family? Disable?

Patients with a mangled extremity, defined as a limb with an injury to at least three out of four systems (soft tissue, bone, nerves, and vessels) represent a high-risk patient population requiring expedient care to salvage life and limb.

The mangled extremity syndrome (M.E.S.): a severity grading system for multisystem injury of the extremity. Gregory RT, Gould RJ, Peclet M, Wagner JS, Gilbert DA, Wheeler JR, Snyder SO, Gayle RG, Schwab CW.

The Mangled Extremity Severity Score (MESS) was developed 25 years ago in an attempt to utilize the extent of skeletal and soft tissue injury, limb ischemia, shock, and age to predict the need for amputation after extremity injury.

Apr 19, 2024 · The term “mangled extremity” refers to an injury to an extremity so severe that salvage is often questionable and amputation is a possible outcome. This injury is always a result of high-energy trauma caused by some combination of crush, shear, blast, and bending forces. Associated fractures usually verify the high-energy forces of

This is a practical and generously illustrated book presenting current concepts regarding the evaluation and management of the mangled extremity, covering patient triage, skeletal fixation strategies, vascular and soft tissue reconstruction, muscle and tendon transfer, and rehabilitation.

Nov 15, 2023 · Mangled extremities are one of the most complex injuries encountered in the trauma setting. Successful treatment requires both general protocols and individualized plans based on the patient and injury with coordination between multiple services.

The management of the mangled extremity continues to pose a significant challenge for ortho- paedic trauma surgeons. This article provides a comprehensive, up-to-date literature review on the assessment of complex limb injuries, and the variables that affect decision-making and outcomes in both limb …