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. 2017 Jan 25;12(1):e0170569. doi: 10.1371/journal.pone.0170569

Table 1. Injury Characteristics of Patients who Underwent Amputation or Limb Salvage.

Injury Characteristics Early Amputation Late Amputation Limb Salvage
(≤90 Days Postinjury) (>90 Days Postinjury) (No Amputation)
Unilateral Unilateral Unilateral
n = 440 n = 78 n = 107
Age (median) 24.2 24.3 22.8
ISS (mean/median) 16*/14 12*/10 14/10
Mechanism of injury (% blast) 89*,† 74* 68
Amputation or limb salvage Injury location (%)
    Above the knee 37 12 23
    Below the knee 63*,† 88*,‡ 77†,‡
TBI (%) 34 27 29
Preinjury psych diagnosis (%) 10 9 6

Amputation times (days postinjury) per patient were 0: n = 523; 1–30: n = 58; 31–90: n = 6; 91–180: n = 10; 181–360: n = 26; 361–730: n = 41; and >730: n = 7).

Differences between unilateral groups (p < 0.05 chi-square or Fisher’s exact test as appropriate) were *early amputation versus late amputation, †early amputation versus limb salvage, and ‡late amputation versus limb salvage.

The primary leg-threatening injury among patients who underwent limb salvage: G-A grade IIIC (8%), G-A grade IIIB fractures (56%), G-A grade IIIA (8%), major soft-tissue injuries (14%), penetrating vascular wound (7%), and severe foot/ankle injuries (8%). Over 50% had more than one of these injury criteria.

G-A = Gustilo-Anderson classification for open fractures; ISS = Injury Severity Score, TBI = traumatic brain injury.