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Article
April 1928

MAJOR AMPUTATIONS: ANALYSIS AND STUDY OF END-RESULTS IN FOUR HUNDRED AND TWENTY CASES

Arch Surg. 1928;16(4):887-921. doi:10.1001/archsurg.1928.01140040082005
Abstract

The following observations are based on an analysis and study of the end-result of 420 major amputations at the Massachusetts General Hospital. The group includes all the major amputations which were performed at this hospital from 1916 to 1926.

An idea of the frequency of amputation may be obtained by comparison of the total number of admissions to the hospital to the total number of operations performed during the same period. There were 65,476 admissions to the hospital, including both medical and surgical cases; the cases in which amputation was performed, therefore, represented 0.64 per cent of the total admissions. During the same period, 39,746 operations were performed, the amputations constituting a little more than 1 per cent of all the operations. Of the 420 cases in the group, primary amputation was performed in 360 and secondary operations or reamputations in sixty.

Table 1 shows the causes of amputation in

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