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Updated: Jan 20, 2026
Establishing a Diaphyseal Femur Fracture Model in Mice
Published on: December 9, 2022
[Surgical decision pattern in the prescription of MESS-scale amputations in tibia fractures exposed grade III-B
I R Águila-Ledesma1, F Medina-Rodríguez2, L M Altamirano-Gutiérrez1
1Hospital de Traumatología y Ortopedia, Unidad Médica de Alta Especialidad (UMAE). «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS). Ciudad de México. México.
Introduction:
The management of severely traumatized extremity continues to be a matter of debate. Gustilo-Anderson tibial fractures III-B have a wide spectrum of variants, there are no guidelines using this classification for management. MESS has demonstrated functional and prognostic association.
Objective:
To identify the pattern of decision made by surgeons for the prescription of amputations in tibial fractures exposed grade III-B Gustilo-Anderson with MESS scale. Material and methods.
Results:
There was no association between the variables, with the application of MESS. (2 = 1.28, p = 0.2575). Surgeons of more than 10 years, increased once the possibility of matching the result of experts (OR = 2.088, 95% CI) (p = 0.0066).
Conclusion:
Academic degrees, surgical experience, and frequent clinical practice do not influence the correct application of the MESS scale. Surgeons with more than 10 years of experience have doubled the possibility of a precise decision.
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