Abstract
Background: Crush injuries to the lower extremities have
proven to be a profound challenge to the surgeon. Complex decisions
inevitably
center about whether to attempt heroic efforts aimed at limb salvage or
to proceed with primary amputation. There are many guidance score
that can be objectively help surgeons with the decisions. One of them is
MESS Score.
Objective: The purpose of this study is to find the correlations between degree of limb ischemia in MESS score component in predicting
treatment to Crush lower limb injury patients.
Method: We reviewed the medical record for patients with
severe injuries to the lower leg in five years on period of January 2014
to
September 2017. The research is a retrospective analytic diagnostic
study in 32 patients with 1,7-80,2 range of age (mean=40.95 year old)
who
suffered from severe lower limb injury. Data was processed based on MESS
Score. MESS includes 4 points of observation, which are skeletal&
soft tissue injury, degree of limb ischemia, shock, and age.
Result: The limb ischemic time correlates strongly with the
surgeon’s decision to treat the crush lower limb injuries. In
conclusion, the
degree of limb ischemia in MESS score, plays as an important role in
determining the treatment on crush lower limb injury patients.
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