Year: 2025
Type: article
Study design: Case Report
Abstract: Management of tibial vascular injuries in conjunction with severe soft tissue and skeletal injury is very challenging. Mangled Extremity Severity Score (MESS) is well-known grading system for such limbs. MESS >7 warrants primary amputation. We describe a case of successful limb reconstruction for a mangled limb on a 28-year-old male. Considering his age, hemodynamic stability and muscle viability, he underwent posterior tibial artery reversed saphenous vein graft repair. A month after the reconstruction, he had cosmetically sound non-infected leg. This case suggests even when the injury-related scores are high, in a young patient with viable muscles, reconstruction should be considered.
Source: Sri Lanka Journal of Medicine
Authors: J. M. S. Karunarathna, J. Arudchelvam
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4409650989