Key result
A Mangled Extremity Syndrome Index (M.E.S.I.) score of 20 was identified as the threshold below which functional limb salvage is expected and above which salvage is improbable.
Why the study?
Does the Mangled Extremity Syndrome Index (M.E.S.I.) predict the need for amputation versus functional limb salvage in patients with severely injured extremities?
Population
17 trauma patients fitting the category of Mangled Extremity Syndrome, identified from a review of 60…
Design
Case_series
Authors
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M.E.S.I. threshold of 20 may inform salvage decisions; hypothesis-generating case report that leaves open prospective validation.
Cohort (n=17)
Does the Mangled Extremity Syndrome Index (M.E.S.I.) predict the need for amputation versus functional limb salvage in patients with severely injured extremities?
The Mangled Extremity Syndrome Index (M.E.S.I.) provides a structured scoring system that may help preoperatively identify whether a severely injured extremity is functionally retrievable or requires amputation.
Gregory et al. (1985) conducted a cohort in Mangled Extremity Syndrome (n=17). Mangled Extremity Syndrome Index (M.E.S.I.) was evaluated on Functional limb salvage versus amputation. A Mangled Extremity Syndrome Index (M.E.S.I.) score of 20 was identified as the threshold below which functional limb salvage is expected and above which salvage is improbable.
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