Prediction of amputation after severe lower limb trauma.
نویسنده
چکیده
The Mangled Extremity Severity Score was applied to 152 patients with severely injured lower limbs. All cases with a score of seven or more required amputation; some with scores of less than seven eventually came to amputation. These observations are discussed.
منابع مشابه
Severe lower limb trauma
Severe trauma to the lower limbs, with major skin loss and the compromise of vital struc tures, is often difficult to treat. A combination of several factors such as ability and effort made to distinguish lesion severity – that is, to differentiate recoverable traumas from those that will inevitably progress to amputation – plays an important role. Therefore, indices were developed to facilita...
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The Lower Extremity Assessment Project (LEAP) is a multicenter study of severe lower extremity trauma in the US civilian population. At 2- and 7-year follow-ups, the LEAP study found no difference in functional outcome between patients who underwent either limb salvage surgery or amputation. However, outcomes on average were poor for both groups. This study and others provide evidence of wide-r...
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Treatment of the severely traumatized or mangled lower extremity poses significant challenges. The Mangled Extremity Severity Score (MESS) is a scale that uses objective criteria to assist with acute management decisions. Most research on the MESS has been in adults or combined series with few children. The study was performed to investigate the MESS in children exclusively. The MESS was applie...
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عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 73 5 شماره
صفحات -
تاریخ انتشار 1991