PDF(Pubmed)
Abstract：
Decision-making regarding limb amputation represents a significant clinical challenge, especially when the initial evaluation does not coincide with the criteria established in scales used worldwide, as is the case of the MESS scale. This article presents the case of a 24-year-old female patient who was transferred to a university hospital after a road traffic accident with severe and large lesions in the left lower limb. Despite a poor initial prognosis and in-hospital complications, including multiple surgical procedures and foot drop, a favorable recovery was achieved with complete anatomical salvage of the limb at risk. The multidisciplinary approach and intensive rehabilitation were instrumental in achieving a satisfactory functional recovery. This case highlights the importance of considering factors beyond amputation scale scores, as well as the need for comprehensive care to improve outcomes in patients with complex extremity injuries.
摘要：
关于截肢的决策代表了一个重大的临床挑战，特别是当初始评估与全球使用的量表中建立的标准不一致时，MESS量表的情况也是如此。本文介绍了一名24岁女性患者的案例，该患者在道路交通事故后被转移到大学医院，左下肢有严重和较大的病变。尽管最初的预后不良和住院并发症，包括多次外科手术和足部下垂，通过完全解剖挽救处于危险中的肢体，可以实现良好的恢复。多学科方法和强化康复有助于实现令人满意的功能恢复。这个案例强调了考虑截肢量表评分之外的因素的重要性，以及需要全面护理以改善复杂四肢损伤患者的预后。
