The mangled extremity score and amputation: Time for a revision.

@article{Loja2017TheME,
  title={The mangled extremity score and amputation: Time for a revision.},
  author={Melissa N. Loja and Amanda Sammann and Joseph Dubose and Chin-Shang Li and Yu Liu and Stephanie A. Savage and Thomas Scalea and John B. Holcomb and Todd E. Rasmussen and M. Margaret Knudson},
  journal={The journal of trauma and acute care surgery},
  year={2017},
  volume={82 3},
  pages={
          518-523
        }
}
BACKGROUND The Mangled Extremity Severity Score (MESS) was developed 25 years ago in an attempt to use the extent of skeletal and soft tissue injury, limb ischemia, shock, and age to predict the need for amputation after extremity injury. Subsequently, there have been mixed reviews as to the use of this score. We hypothesized that the MESS, when applied to a data set collected prospectively in modern times, would not correlate with the need for amputation. METHODS We applied the MESS to… CONTINUE READING
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