Amputation

[8][9] The oldest evidence of this practice comes from a skeleton found buried in Liang Tebo cave, East Kalimantan, Indonesian Borneo dating back to at least 31,000 years ago, where it was done when the amputee was a young child.

[11] A less common major amputation is the Van Nes rotation, or rotationplasty, i.e. the turning around and reattachment of the foot to allow the ankle joint to take over the function of the knee.

In some rare cases when a person has become trapped in a deserted place, with no means of communication or hope of rescue, the victim has amputated their own limb.

The most notable case of this is Aron Ralston, a hiker who amputated his own right forearm after it was pinned by a boulder in a hiking accident and he was unable to free himself for over five days.

[18] Treatment of severe frostbite may require surgical amputation of the affected tissue or limb;[19] if there is deep injury autoamputation may occur.

Sharp and rough edges of bones are filed, skin and muscle flaps are then transposed over the stump, occasionally with the insertion of elements to attach a prosthesis.

This allows effective muscle contraction which reduces atrophy, allows functional use of the stump and maintains soft tissue coverage of the remnant bone.

Due to the limited and very low certainty evidence available, the authors concluded that it was uncertain what the benefits and harms were for each dressing type.

[55] A 2017 review found that the use of rigid removable dressings (RRD's) in trans-tibial amputations, rather than soft bandaging, improved healing time, reduced edema, prevented knee flexion contractures and reduced complications, including further amputation, from external trauma such as falls onto the stump.

Traumatic amputation is the partial or total avulsion of a part of a body during a serious accident, like traffic, labor, or combat.

[57][58] Traumatic amputation of a human limb, either partial or total, creates the immediate danger of death from blood loss.

[71][72] Crush injuries where there is extensive tissue damage and poor circulation also benefit from hyperbaric oxygen therapy (HBOT).

[73] A study found that the patented method called Circulator Boot achieved significant results in prevention of amputation in patients with diabetes and arteriosclerosis.

The establishment of laws, rules, and guidelines, and employment of modern equipment help protect people from traumatic amputations.

Ramachandran and Sandra Blakeslee) such that an individual who has had an arm amputated will experience unexplained pressure or movement on his face or head.

To support improved resistance or usability, comfort or healing, some type of stump socks may be worn instead of or as part of wearing a prosthesis.

The brain signals the bone to grow instead of scar tissue to form, and nodules and other growth can interfere with prosthetics and sometimes require further operations.

The English word "Poes" was first applied to surgery in the 17th century, possibly first in Peter Lowe's A discourse of the Whole Art of Chirurgerie (published in either 1597 or 1612); his work was derived from 16th-century French texts and early English writers also used the words "extirpation" (16th-century French texts tended to use extirper), "disarticulation", and "dismemberment" (from the Old French desmembrer and a more common term before the 17th century for limb loss or removal), or simply "cutting", but by the end of the 17th century "amputation" had come to dominate as the accepted medical term.

An above-knee amputation
The 18th century guide to amputations
Partial amputation of index finger
Transfemoral amputation due to liposarcoma
Three fingers from a soldier's right hand were traumatically amputated during World War I .
Curved knives such as this one were used, in the past, for some kinds of amputations.
Amputation of the leg of First Lieutenant Antônio Carlos de Mariz e Barros , commander of the Brazilian Battleship Tamandaré (Henrique Fleiuss, Semana Illustrada , 1866 )
Private Lewis Francis was wounded July 21, 1861, at the First Battle of Bull Run by a bayonet to the knee.
Up to 50,000 Ukrainians lost their limbs during the Russian invasion of Ukraine . [ 64 ]