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Abstract

[Indexed for MEDLINE] 7. Cureus. 2023 May 10;15(5):e38813. doi: 10.7759/cureus.38813. eCollection 2023 May. Revisiting the Mangled Extremity Severity Score (MESS) in Popliteal Artery Injury: A Single-Centre Experience in Vietnam. Van Nut L(1), Thanh Son H(1), Lam Vuong N(2). Author information: (1)Department of Vascular Surgery, Cho Ray Hospital, Ho Chi Minh City, VNM. (2)Department of Medical Statistics and Informatics, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM. BACKGROUND: Popliteal artery injury is a severe condition that can lead to limb loss. Early intervention is essential to achieve optimal outcomes, including limb salvage. The Mangled Extremity Severity Score (MESS) is a scoring system used to predict amputation rates for mangled limb injuries. The effectiveness of the MESS in predicting amputation in patients with traumatic popliteal artery injury is unclear, particularly in settings with a high prevalence of motorcycle accidents. METHODS: This retrospective study was conducted at a single center in Vietnam between January 2018 and June 2020. The study included 120 patients who underwent surgical treatment for popliteal artery injury. Data were collected from electronic medical records, radiology reports, and operative notes. Logistic regression model and the area under the curve (AUC) were used to evaluate the predictive value of the MESS. RESULTS: Patients with a MESS score of ≥8 had a higher rate of amputation compared to those with a MESS score of