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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A point system was developed to grade the severity of each of the four criteria. The retrospective study group wcore 24 patients with 25 injured limbs and the prospective study group comprised 34 patients with 36 injured limbs. A critical evaluation of mangled extremity severity score system in severely traumatized lower limbs. The present study comprised 58 patients with 61 injured lower limbs.

Mangled Extremity Severity Score (MESS) | Calculate by QxMD

Quantification Volumetric Cardiology MS: Introduction Fundamentals of the Prescription. National Center for Biotechnology InformationU. Footnotes Source of Support: A retrospective evaluation of the mangled extremity severity score.

The principal investigators of the study request that you use the official version of the modified score here. The purpose of the present study was to evaluate the clinical utility of Mangled extremity severity score MESS in severely injured lower limbs.

We indicated this precise point — that MESS was a “snapshot in time” which needed to be modified serially as new limb salvage techniques became available — when we initially presented this scoring system. Mangled extremity severity score: Kaj Johansen’s publications, visit PubMed.


External fixator was replaced with a cast when there was no sign of infection, adequate soft tissue coverage was obtained and the fracture healing was progressing satisfactorily. The appropriate contemporary lower extremity threshold value we avoid the term “cut-off”!! Addition of the assigned points; if there has been limb ischemia for more than 6 hours, the “limb ischemia” points are doubled.

J Bone Joint Seveity Am. Prognosis for limb salvage. The injured limbs that were traumatic, near-amputation with only a small bridge of tissue connecting the distal extremity, thus were not reconstructable.

Mangled Extremity Severity Score (MESS Score) – MDCalc

Three patients had not reported for follow-up and two patients had died before complete follow-up. Extremtiy of ‘Diagnosis’ designed to be very sensitive Rule Out. 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.

Introduction quantifies severity of head injury by measuring CNS function used as initial assessment tool continual re-evaluation of head injured patients Variables Best Motor Response 6 – Obeys command 5 – Localizes pain 4 – Normal withdrawal flexion 3 – Abnormal withdrawal flexion: Radiographs of the mangled extremity were taken.

Johansen provides care across the entire vascular surgical spectrum, with emphasis on thoracic outlet syndrome and gait salvage surgery.


Or create a new account it’s free. Log In Create Account. An attempt to quantify the severity of the trauma and to establish numerical guidelines for the decision to amputate or salvage the limb has been proposed by many authors.

Trauma Scoring Systems

Serial debridements were carried out every two to four days when required. Numerical inputs and outputs Formula. The second look debridement under anesthesia was undertaken 48 to 72 hrs following the injury. Color Doppler of mangled extremity was carried out whenever peripheral pulses were absent and perfusion was in doubt.

A prospective evaluation of clinical utility of the lower extremity injury-severity scores. While the evolution of sophisticated microsurgical reconstruction technique has created the possibility of successful limb salvage in even the most extreme cases, it has become painfully obvious that the technical possibilities are double-edged swords. Open in a separate window.

Child Pugh Score Determine severity of cirrhosis. Once the general condition of the patient was stabilized, a detailed case history was recorded with particular importance to mode of injury, treatment taken if any, interval between injury and admission and associated medical or surgical illnesses if any.