*Corresponding author:
Romy Deviandri, Department of Orthopaedic and TraumatologyFaculty of Medicine Universitas Padjadjaran/Hasan Sadikin General Hospital, Jalan Pasteur No.38 Bandung 40161,IndonesiaReceived: November 01, 2017; Published: November 10, 2017
DOI: 10.26717/BJSTR.2017.01.000515
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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.
Key words: Crush Injuries; Limb ischemia; Limb salvage; MESS score; Primary amputation
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