Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 19, 2026

A Mouse Model of Ankle-Subtalar Complex Joint Instability
09:14

A Mouse Model of Ankle-Subtalar Complex Joint Instability

Published on: October 28, 2022

Mangled lower extremity: can we trust the amputation scores?

Lucian Fodor, Raluca Sobec, Laura Sita-Alb

    International Journal of Burns and Trauma
    |August 29, 2012
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Adipofascial Infragluteal Perforator Flap for Total Parotidectomy Reconstruction: A Novel Application for Inconspicuous Donor and Recipient Site-Preliminary Results.

    Journal of clinical medicine·2026
    Same author

    Sternal Resections: An Attempt to Find the Ideal Reconstruction Method.

    Medicina (Kaunas, Lithuania)·2025
    Same author

    The ultrasonographic diagnosis of lymph node varicose veins in the groin - an overlooked missing link in chronic venous disease?

    Medical ultrasonography·2024
    Same author

    Predictors for anaemia, blood transfusion and outcome in plastic surgery patients.

    The Journal of international medical research·2024
    Same author

    Blood transfusions in non-major burns patients.

    Burns : journal of the International Society for Burn Injuries·2023
    Same author

    Intraoperative Right Colic Graft Ischemia, Followed by Delayed Oesophagoplasty Including an Ileo-Transverse Anastomosis and the Cervical Revascularisation of the Ileum: Case Report.

    Chirurgia (Bucharest, Romania : 1990)·2022
    Same journal

    Clinical observation of Wound Care Ointment on split-thickness skin graft donor site healing.

    International journal of burns and trauma·2026
    Same journal

    Rethinking intraoperative blood loss monitoring: a decision-oriented framework for clinically integrated assessment.

    International journal of burns and trauma·2026
    Same journal

    Diagnostic accuracy of ultrasound compared to magnetic resonance imaging for rotator cuff tears: a systematic review.

    International journal of burns and trauma·2026
    Same journal

    Myocutaneous latissimus dorsi split pedicle flap for simultaneous reconstruction of elbow and breast: a case report.

    International journal of burns and trauma·2026
    Same journal

    One-stage transplantation of artificial dermis and autologous split-thickness skin graft for the repair of severe foot trauma: a case report.

    International journal of burns and trauma·2026
    Same journal

    Addressing evacuation delay: the critical role of the core region of combat trauma concept in future warfare.

    International journal of burns and trauma·2026
    See all related articles

    Mangled lower extremity injuries are a significant challenge. While several scoring systems exist, a universally accepted solution for amputation decisions remains elusive, though limb salvage is improving, especially in civilian cases.

    Area of Science:

    • Orthopedics
    • Trauma Surgery
    • Reconstructive Surgery

    Background:

    • Limb injuries, particularly lower limb trauma, present a persistent and severe clinical problem.
    • Numerous scoring systems have been developed to objectively assess trauma severity and guide limb salvage versus amputation decisions.
    • These systems often consider factors like bone fractures, soft tissue damage, and vascular, nerve, or tendon lesions.

    Purpose of the Study:

    • To analyze the correlation between various injury severity scoring systems and amputation recommendations for mangled lower extremities.
    • To compare these correlations across combat and civilian injuries, and in adult versus pediatric populations.

    Main Methods:

    • A systematic review of articles published within the last 15 years concerning mangled lower extremities.
    Keywords:
    LSIMESSMangled lower extremitiesPSIamputation

    Related Experiment Videos

    Last Updated: May 19, 2026

    A Mouse Model of Ankle-Subtalar Complex Joint Instability
    09:14

    A Mouse Model of Ankle-Subtalar Complex Joint Instability

    Published on: October 28, 2022

  • Inclusion criteria focused on studies reporting Mangled Extremity Severity Score (MESS), Predictive Salvage Index (PSI), Limb Salvage Index (LSI), and Gustilo-Anderson scores, with patient groups exceeding 25.
  • Analysis aimed to determine the reliability of these scores in guiding amputation decisions.

    • Main Results:

    • Thirty-two studies met the inclusion criteria, with 17 offering clear data on score-based amputation decisions.
    • A good correlation between the MESS and amputation was observed in 25% of the analyzed papers.
    • The strongest correlations were noted in pediatric injuries and combined adult/pediatric combat-related injuries.

    Conclusions:

    • Mangled extremities remain a complex issue with ongoing debate and numerous scoring systems, yet no single solution is universally adopted.
    • Many cases are borderline, necessitating careful clinical judgment for amputation or salvage.
    • Recent medical advancements have led to increased limb salvage rates, particularly in civilian trauma settings.