Occurrence of surgical amputations in the lower limb group stratified by ISS groups and ISS distribution. ISS arbitrarily grouped. The most common injury mechanisms in the amputation group (n = 415, 7 missing) were MVA with motor bicycles (38.6%), followed by pedestrian accidents (17.1%). More than half of the patients (n = 281) had a traumatic amputation, of which 180 (64.1%) were, in addition, surgically amputated. Most patients were amputated on the day of admission according to damage control principles (n = 338, 80.1%).