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.