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Upper Limb

The validity of the mangled extremity severity score in the assessment of upper limb injuries



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Abstract

The Mangled Extremity Severity Score (MESS) may be used to decide whether to perform amputation in patients with injuries involving a limb. A score of 7 points or higher indicates the need for amputation. We have treated three patients with a MESS of 7 points or higher, in two of which the injured limb was salvaged. This scoring system was originally devised to assess injuries to the lower limb. However, a MESS of 7 points as a justification for amputation does not appear appropriate when assessing injuries to the major vessels in the upper limb.


Correspondence should be sent to Dr S. Togawa; e-mail: stogawa@muc.biglobe.ne.jp

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