The Medical and Economic Impact of Severely Injured Lower Extremities

The MESS: is it must?

“…Analysis of these results has shown that patients in the limb salvage group have had significantly less -than -satisfactory functional outcome compared to patients who have had primary amputation. The above results in our study were comparable to the studies of Georgiadis et al 8 and Boudrant et al 9 In Georgiadis's 8 study the outcome and quality of life patients who had an open fracture of the tibia associated with severe soft tissue loss was analysed. They compared 16 patients who had limb salvage using micro vascular free flaps and 18 patients who had below knee amputation.…”

Prosthetic cost projections for servicemembers with major limb loss from Vietnam and OIF/OEF

“…† Previous literature evaluating costs in patients with limb loss focused on healthcare costs of different surgical procedures (such as immediate or delayed amputations [6], surgical reconstruction, and amputation [7][8]) or costs of different types of prosthetic devices [9][10]. No published research has projected lifetime costs incorporating the diverse combinations of prosthetic devices in current use today.…”

Retrospective study on predictive scoring system for amputation in open fracture of tibia type III

“…Many scoring system is designed to objectively assess the severity of leg injuries to assist the surgeon in predicting of limb salvage or amputation. 1,[5][6][7] This study evaluate the scoring system, the most widely used is mangled extremity syndrome index (MESI), predictive salvage index (PSI), hannover fracture scale (HFS), limb salvage index (LSI), mangled extremity severity score (MESS) and nerve injury, ischemia, softtissue injury, skeletal injury, shock, age (NISSSA).…”