title: Limb salvage in a child with severely injured mangled lower extremity and muscle rigor.
abstract: Most surgeons make their decision to amputate or perform limb salvage of a mangled extremity based on scoring systems and grading of acute ischemic limb. We report on a child in whom limb salvage was achieved in spite of a clinical picture of irreversible ischemia with high mangled severity scores. Attempts to revascularize the mangled extremity of children are recommended, regardless of their severity scores and condition of the foot.
authors.affiliation: Department of Surgery, University of Dammam, Al-Khobar, Kingdom of Saudi Arabia. elsharawya@yahoo.co.uk
authors.forename: Mohamed A
authors.initials: MA
authors.lastname: Elsharawy
authors.forename: Karay
authors.initials: K
authors.lastname: Maher
authors.forename: Aymen S
authors.initials: AS
authors.lastname: Elsaid
mesh_terms: D000063:Accidents, Traffic; D000671:Amputation, Surgical; D002648:Child; D006801:Humans; D015601:Injury Severity Score; D007869:Leg Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D023821:Limb Salvage; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D020127:Recovery of Function; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014945:Wound Healing