Allen describes the case of a boy
of eight who was run over by a locomotive, crushing his right
leg, left foot, and left forearm to such an extent as to
necessitate primary triple amputation at the left elbow, left
foot, and right leg, the boy recovering. Ashhurst remarks that
Luckie, Alexander, Koehler, Lowman, and Armstrong have
successfully removed both legs and one arm simultaneously for
frost-bite, all the patients making excellent recoveries in spite
of their mutilations; he adds that he himself has successfully
resorted to synchronous amputation of the right hip-joint and
left leg for a railroad injury occurring in a lad of fifteen, and
has twice synchronously amputated three limbs from the same
patient, one case recovering.
Wharton reports a case of triple major amputation on a negro of
twenty- one, who was run over by a train. His right leg was
crushed at the knee, and the left leg crushed and torn off in the
middle third; the right forearm and hand were crushed. In order
to avoid chill and exposure, he was operated on in his old
clothes, and while one limb was being amputated the other was
being prepared. The most injured member was removed first.
Recovery was uninterrupted.
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