Firearm-Related Lower Extremity Injuries: Treatment Approaches and MESS Score Usability.

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Abstract

[Indexed for MEDLINE] 6. Zentralbl Chir. 1997;122(11):943-53. [Scoring--criteria for operability]. [Article in German] Oestern HJ(1). Author information: (1)Klinik für Unfall- und Wiederherstellungschirurgie, Allgemeinen Krankenhauses Celle. For therapeutic recommendations three different kinds of scores are essential: 1. The severity scores for trauma; 2. Severity scores for mangled extremities; 3. Intensive care scores. The severity of polytrauma patients is measurable by the AIS, ISS, RTS, PTS and TRISS which is a combination of RTS, ISS, age, and mechanism of injury. For mangled extremities there are also different scores available: MESI (Mangled Extremity Syndrome Index) and MESS (Mangled Extremity Severity Score). The aim of these scores is to assist in the indication with regard to amputate or to save the extremity. These scoring indices can be used to evaluate the severity of a systemic inflammatory reaction syndrome with respect to multiple organ failure. All scores are dynamic values which are variable with improvement of therapy.