Diagnostic Accuracy of the Mangled Extremity Severity Score in Predicting Amputation


Diagnostic Accuracy of the Mangled Extremity Severity Score in Predicting Amputation

Summary: This systematic review assesses the performance of the Mangled Extremity Severity Score (MESS) in predicting the need for amputation following severe lower limb trauma. The study examines sensitivity, specificity, and overall clinical utility of this widely used scoring system.

Key Highlights:

  • Evaluates MESS as a decision-support tool in limb salvage vs. amputation
  • Analyzes diagnostic accuracy across multiple trauma studies
  • Addresses strengths and limitations in real-world application
  • Important implications for trauma and vascular surgery teams

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Keywords: MESS score, mangled extremity, limb salvage