A Novel Mangled Upper Extremity Injury Assessment Score.

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Abstract

5. J Coll Physicians Surg Pak. 2024 Jan;34(1):48-53. doi: 10.29271/jcpsp.2024.01.48. Firearm-Related Lower Extremity Injuries: Treatment Approaches and MESS Score Usability. Altintas M(1), Ozel M(2), Balsak H(3). Author information: (1)Department of Orthopaedic Surgery, Diyarbakir Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakir, Turkiye. (2)Department of Emergency Medicine, Diyarbakır Gazi Yasargil Training and Research Hospital, University of Health Sciences, Diyarbakir, Turkiye. (3)Department of Midwifery, School of Health Sciences, Batman University, Batman, Turkiye. OBJECTIVE: To evaluate isolated firearm-related lower extremity injury (LEI) treated according to the current treatment of damage control orthopaedics (DCO) or traditional early comprehensive treatment (TECT), and to validate the usability of Mangled Extremity Severity Score (MESS). STUDY DESIGN:   Observational study. Place and Duration of the Study: Department of Orthopaedic Surgery, Diyarbakir Gazi Yasargil Training and Research Hospital, Turkiye, from November 2017 to November 2022. METHODOLOGY: A total of 93 adult patients with isolated firearm-induced LEI requiring surgical intervention for open bone fractures at a level I trauma centre were included. The study assessed the severity of LEI using MESS based on the patients' medical records. RESULTS: DCO technique was used for 54.8% (51) of patients. There were statistically significant differences in terms of amputations and limb salvage between the DCO and TECT groups (χ2:6,234, p