Mangled Extremity Severity Score

The cut-off for the Mangled Extremity Severity Score (MESS) is 7. A score of 7 or higher suggests a high likelihood of amputation.

The criteria for a mangled limb include severe damage to skeletal structures, extensive soft tissue injury, significant vascular injury, and possible nerve damage, often resulting from high-energy trauma.

The Mangled Extremity Severity Score (MESS) is a clinical tool used to assess the severity of limb injuries. It evaluates skeletal and soft tissue injury, limb ischemia, shock, and patient age to predict the need for amputation.