Open AccessReliability of the mangled extremity severity score in combat-related upper and lower extremity injuries
Author(s) -
Tolga Ege,
Aytekin Ünlü,
Hüseyin Taş,
Doğan Bek,
Selim Turkan,
A Cetinkaya
Publication year - 2015
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.168759
Subject(s) - medicine , amputation , trauma center , injury severity score , surgery , revascularization , retrospective cohort study , injury prevention , poison control , physical therapy , emergency medicine , myocardial infarction
Decision of limb salvage or amputation is generally aided with several trauma scoring systems such as the mangled extremity severity score (MESS). However, the reliability of the injury scores in the settling of open fractures due to explosives and missiles is challenging. Mortality and morbidity of the extremity trauma due to firearms are generally associated with time delay in revascularization, injury mechanism, anatomy of the injured site, associated injuries, age and the environmental circumstance. The purpose of the retrospective study was to evaluate the extent of extremity injuries due to ballistic missiles and to detect the reliability of mangled extremity severity score (MESS) in both upper and lower extremities.