Evidence map›Paper›PMID 37321642›Full record

ArticleBMJ case reports2023

Salvage of a severely mangled limb following traumatic injury.

Rakesh Kumar Jha, Prasad Vijay Jayaram, Ramakrishnan Shankaran, Hari Janardhan Pillai

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Rakesh Kumar JhaDepartment of Surgery, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India.ORCID http://orcid.org/0000-0001-6111-4237
Prasad Vijay JayaramDepartment of Surgery, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India prasad59@gmail.com.
Ramakrishnan ShankaranDepartment of Surgery, Indian Naval Hospital Ship Asvini, Mumbai, Maharashtra, India.
Hari Janardhan PillaiDepartment of Surgery, INHS Jeevanti, Vasco-de-Gama, Goa, India.ORCID http://orcid.org/0000-0001-7868-9248
Indian Navy · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Management of a severely damaged extremity poses a dilemma-whether to perform a primary amputation or attempt limb salvage. A multitude of factors-such as the extent of neurovascular injury, limb ischaemia time, severity of bone and soft tissue loss, physiological reserve of the patient and availability of surgical expertise and resources-influence this decision. The Mangled Extremity Severity Score (MESS) was developed as a predictor of the need for limb amputation, and a MESS of 7 or more is considered a predictor of primary amputation. Here we describe a case where a man in his 20s sustained traumatic avulsion of his right ankle with severe neurovascular damage and multiple tendon injuries onboard a ship at high sea. Despite a MESS of 10, limb ischaemia time of more than 10 hours and injuries to all three extremity vessels (anterior tibial, posterior tibial and peroneal arteries), limb salvage was successfully carried out at a level-II trauma centre.

Indexed as

Multiple TraumaVascular System InjuriesExtremitiesHumansInjury Severity ScoreLimb SalvageMaleRetrospective StudiesOrthopaedic and trauma surgeryPlastic and reconstructive surgeryVascular surgery

Identifiers

PMID37321642
PMCPMC10277066
OpenAlexW4380793114

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.