• Login
    View Item 
    •   Home
    • Hospital Research
    • Munster
    • Cork University Hospital
    • View Item
    •   Home
    • Hospital Research
    • Munster
    • Cork University Hospital
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Map of Submissions

    Home Page
    UlsterN
    4378
    UlsterS
    4378
    Connacht
    1408
    Munster
    62
    Leinster
    426

    Browse

    All of Lenus, The Irish Health RepositoryCommunitiesTitleAuthorsDate publishedSubjectsThis CollectionTitleAuthorsDate publishedSubjects

    My Account

    LoginRegister

    About

    About LenusDirectory of Open Access JournalsOpen Access Publishing GuideHSE Library Guide to Publishers' PoliciesFAQsTerms and ConditionsVision StatementORCID Unique identifiers for ResearchersHSE position statement on Open AccessNational Open Research Forum (NORF)Zenodo (European Open Research repository)

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Is it possible to predict limb viability in complex Gustilo IIIB and IIIC tibial fractures? A comparison of two predictive indices.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Authors
    O'Sullivan, S T
    O'Sullivan, M
    Pasha, N
    O'Shaughnessy, M
    O'Connor, T P
    Affiliation
    Department of Plastic and Reconstructive Surgery, Cork University Hospital,, Wilton, Ireland.
    Issue Date
    2012-02-03T15:14:31Z
    MeSH
    Adolescent
    Adult
    Aged
    *Amputation
    Child
    Child, Preschool
    Evaluation Studies as Topic
    Female
    Humans
    Male
    Middle Aged
    *Patient Selection
    Tibial Fractures/*surgery
    *Trauma Severity Indices
    Treatment Outcome
    Show allShow less
    
    Metadata
    Show full item record
    Citation
    Injury. 1997 Nov-Dec;28(9-10):639-42.
    Journal
    Injury
    URI
    http://hdl.handle.net/10147/209185
    PubMed ID
    9624343
    Abstract
    The patient with severe lower limb trauma presents a management dilemma; whether to amputate primarily or to attempt limb salvage. In recent years, many predictive indices have been published which purport to identify limbs which are non-viable. We retrospectively applied two recently described indices, the Mangled Extremity Severity Score (MESS) and the Limb Salvage Index (LSI), to 54 limbs in 50 patients with either Gustilo IIIB or IIIC complex tibial fractures. There were 22 amputations (40.7 per cent) in the series. The mean MESS score in the limb salvage group was 3.8 (range 2-10), and the mean MESS score in the amputation group was 7.7 (range 4-13) (P < 0.0001). The mean LSI score in the limb salvage group was 3.6 (range 3-8), and the mean LSI score in the amputation group was 6.9 (P < 0.01). However, in the group with MESS scores > 7 (which recommends amputation), there were three limbs which were salvaged with acceptable functional outcome. Similarly, in those with LSI scores > 6 (which recommends amputation), there were seven limbs successfully salvaged. A MESS > 7 offered a greater relative risk of amputation (9.2) than a LSI score > 6 (5.3). We found both indices of use in predicting limb salvage and functional outcome. However, neither is sufficiently accurate to be considered absolutely reliable in clinical practice.
    Language
    eng
    ISSN
    0020-1383 (Print)
    0020-1383 (Linking)
    Collections
    Cork University Hospital

    entitlement

    Related articles

    • The functional outcome of lower-extremity fractures with vascular injury.
    • Authors: Lin CH, Wei FC, Levin LS, Su JI, Yeh WL
    • Issue date: 1997 Sep
    • Third degree open fractures and traumatic sub-/total amputations of the upper extremity: Outcome and relevance of the Mangled Extremity Severity Score.
    • Authors: Fochtmann A, Binder H, Rettl G, Starlinger J, Aszmann O, Sarahrudi K, Hajdu S
    • Issue date: 2016 Oct
    • The effect of systemic injury score on the decision making of mangled lower extremities.
    • Authors: Yeh HK, Fang F, Lin YT, Lin CH, Lin CH, Hsu CC
    • Issue date: 2016 Oct
    • Comparing the performance of different open injury scores in predicting salvage and amputation in type IIIB open tibia fractures.
    • Authors: Gupta A, Parikh S, Rajasekaran RB, Dheenadhayalan J, Devendra A, Rajasekaran S
    • Issue date: 2020 Sep
    • Use of Ganga Hospital Open Injury Severity Scoring for determination of salvage versus amputation in open type IIIB injuries of lower limbs in children-An analysis of 52 type IIIB open fractures.
    • Authors: Venkatadass K, Grandhi TSP, Rajasekaran S
    • Issue date: 2017 Nov
    HSE Library | Health Service Executive | Dr Steevens’ Hospital, Dublin 8 | Republic of Ireland | Eircode: D08 W2A8
    lenus@hse.ie
    DSpace software copyright © 2002-2017  DuraSpace
    Contact Us | Disclaimer
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.