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12.7 days

SURGICAL: Amputation for Circulation System Disorders, Except Upper Limb and Toe 442

5.8 days

SURGICAL: Other Operating Room Procedures for Injuries with CC

^Amputation is the surgical severing of any body part. Amputations can be surgical (therapeutic) or traumatic (emergencies resulting from injury). The type of amputation performed in the Civil War era by a surgeon called a "sawbones" was straight across the leg, with all bone and soft tissue severed at the same level. That procedure, known as a guillotine (or open) amputation, is still seen today.

A traumatic amputation is usually the result of an industrial accident, in which blades of heavy machinery sever part of a limb. A healthy young person who suffers a traumatic amputation without other injuries is often a good candidate for limb salvage. Reattachment of a limb will take place as soon as possible following the injury. The chief problems are hemorrhage and nerve damage. A closed amputation is the most common surgical procedure today. The bone is severed somewhat higher than the surrounding tissue, with a skin flap pulled over the bone end, usually from the posterior surface. This procedure provides more even pressure for a weight-bearing surface, promoting healing and more successful use of a prosthesis. (See Table 7 for levels of amputations.)

• TABLE 7 Levels of Amputation
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