2023年3月6日 · Quick resuscitation and engagements of the essential subspecialty groups has shifted the paradigm of management of mangled extremity trauma to utilization of advanced surgical reconstruction potential. The evolution in the management of mangled extremities continues with significant ongoing debate as new advances develop.

Mangled extremities have historically been associated with very high amputation rates. Advances in evacuation, resuscitation, wound care, free tissue transfer, and internal fixation make it nowadays possible to salvage limbs that would have been amputated in the past.

2023年11月15日 · Mangled extremities are an indicator of a high-energy mechanism of injury and should alert emergency physicians to the need for a full trauma survey. This article will provide an overview of the mangled extremity, including the classifications commonly used, important steps for initial management, definitive treatment options, and long-term ...

2024年4月19日 · mangled extremity have delineated a multitude of clinical factors to help better guide in the decision-making process in the setting of a potentially salvageable versus an unsalvageable limb injury 66 (Table 12-1). In 2002, factors that influenced the mangled extremity treatment decision process were studied by Swiontkowski and the LEAP Study ...

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.

2021年12月1日 · A mangled extremity is the most devastating limb injury and presents a challenge for the orthopedic surgeon. There are two main treatment options, reconstruction or amputation, but sometimes indications for either are not clear. There are many pro and contra arguments for both options.

Mangled extremities represent one of the most challenging injuries. They indicate the need for a comprehensive trauma assessment to rule out coexisting injuries. Treatment options include amputation and attempts at limb salvage. Although both have been associated with chronic disability, new surgica …

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.

2012年6月13日 · In this review, we discuss the mechanisms of injury, various available scoring systems, initial management, outcome and specific differences between lower and upper extremity trauma injuries. 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).

The aim of this study was to describe the two-year patient-reported outcomes of patients in a civilian population who sustained a complex fracture of the femur or tibia with a Mangled Extremity Severity Score (MESS) of ≥ 7, whereby the score ranges from 2 …