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Contents

APPENDIX F

Detailed Observations on Wound Groups

The tables (1 through 15) in this section arelargely self-explanatory.¹Primary operations, subsidiary operations, operating time, secondary operations,and anesthesia for primary surgery are presented in the order named (tables 1,2, 3, 4, and 5). The recorded information relative to oxygen therapy ispresented in table 6. There was no record of oxygen therapy in 886 of the 1,450deaths. It is most probable that oxygen was given at times without making anentry on the patient's record. It is known, however, that oxygen therapy wasindicated at times when it was not given. The cases listed in the column devotedto oxygen therapy during operation are, with few exceptions, those to whichoxygen was administered as a part of the anesthetic mixture.

Chemotherapy, plasma and blood therapy,recorded blood pressure, evidence of shock, urinary output, and othermiscellaneous observations as related to the principal wound are shown in tables7 through 13.

Table 14 shows that 945 of the deaths studiedoccurred in evacuation hospitals and 505 in field hospitals. In the group of 65cases that were seen in a field hospital and transferred to an evacuationhospital for surgery, those with intracranial wounds (32 cases) head the list.The policy of transferring nearly all with intracranial wounds to an evacuationhospital for surgery accounts for this figure, and it is fair to assume that fewif any of these would have survived had they been held in the field hospitals.The same is not true of the 10

TABLE l.-Primary operations as related toprincipal wounds

Principal wound	Ampu- tation	Crani- otomy	Debride- ment only	Laminec- tomy	Laparo- tomy	Thoraco- laparotomy	Thora- cotomy	Abdominal stab incision without laparotomy	Others	Total primary operations
Intracranial	3	101	20	---	5	---	---	---	2	131
Intravertebral	---	---	5	12	---	---	---	---	---	17
Maxillofacial	---	---	5	---	---	---	---	---	2	7
Cervical	---	1	11	---	---	---	---	---	6	18
Intrathoracic	2	1	40	4	2	---	33	---	1	83
Thoracoabdominal	5	---	6	---	100	12	109	18	---	250
Combined intra- abdominal and intrathoracic	8	---	1	1	42	---	7	---	1	60
Intra-abdominal	11	---	5	3	327	1	---	---	---	347
Abdominal wall only	---	---	1	---	2	---	---	---	---	3
Upper extremity:
Soft tissue only	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	2	---	5	---	---	---	---	---	---	7
Lower extremity:
Soft tissue only	5	---	16	---	2	---	---	---	---	23
Bone and soft tissue	40	---	36	---	1	---	---	---	1	78
Unclassified multiple	8	5	25	3	8	1	2	1	2	55
Total	84	108	176	23	489	14	151	19	15	1,079

¹General observations on wound groups in the 1,450 Fifth U.S. Army hospital battle casualty deaths have been presented in chapter VII (p. 485).

814

TABLE 2.-Subsidiary operations performedat the time of the primary operation as related to principal wounds

815

cases with unclassified multiple wounds and the 8cases with intrathoracic wounds in this group. Many of these might have survivedhad they been held for surgery in the field hospital. These two principal woundgroups are the ones in which the transportability of the battle casualty is aptto be overestimated.

Table 15 on post mortem examinations showsthat there were 675 cases in which there was no record of autopsy. It is knownthat a number of autopsies were done that were not reported. However, many moreshould have been done, and in many instances would have been done, had thepressure of work with living battle casualties not been so great. It wasdemonstrated time and again that every surgeon should do or witness the postmortem examination on all of his patients that die. His judgment and ability inthe problems of war surgery, particularly, develop much more rapidly and to afar greater degree when this is done routinely. Microscopic examinations oftissues from all the important organs is likewise most valuable. Excellentreports from the 2d Medical Laboratory and the 15th General Medical Laboratoryconstitute a part of the record of many of the deaths studied. The highincidence of fat embolism was not appreciated until Colonel Mallory advised ofits incidence in the microscopic sections of tissues from battle casualtydeaths. Microscopic examination of tissues in those dying with pigmentnephropathies has been quite valuable. Gross and microscopic autopsy studiesshould be required on all battle casualty deaths. Their educational byproductscontribute to the effectiveness of an army.

TABLE 3.-Operating time (in minutes) forprimary surgery as related to principal wounds

Principal wound	Less than 30	30-59	60-89	90-119	120-149	150-179	180-209	210-239	240-299	300-360	More than 360	No record
Intracranial	2	3	8	7	8	5	5	---	1	1	2	87
Intravertebral	1	---	---	---	2	---	---	---	---	---	---	15
Maxillofacial	---	---	---	---	1	1	1	---	---	---	---	4
Cervical	1	---	---	1	1	---	---	---	2	---	---	13
Intrathoracic	---	4	2	2	4	3	---	1	---	1	1	63
Thoracoabdominal	1	2	8	6	11	8	5	4	3	5	1	131
Combined intra- abdominal and intrathoracic	---	---	1	---	1	2	4	1	1	1	---	36
Intra-abdominal	4	4	6	9	16	17	19	8	6	1	---	247
Abdominal wall only	---	---	---	---	---	---	---	---	---	---	---	3
Upper extremity:
Soft tissue only	---	---	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	---	---	---	1	---	---	---	---	---	---	---	6
Lower extremity:
Soft tissue only	---	1	---	3	---	---	---	---	---	---	---	18
Bone and soft tissue	---	4	6	3	2	2	2	---	---	---	---	59
Unclassified multiple	2	1	2	4	2	3	1	---	---	2	---	35
Total	11	19	33	36	48	41	37	14	13	11	4	717

816

TABLE 4.-Secondary (later) operations asrelated to principal wounds

817

TABLE 5.-Anesthesia for primary surgery asrelated to principal wounds

Principal wound	Ether, closed system	Ether, Flagg method	Ether, open drop	Ether, unclas- sified	Endotra- cheal	Nitrous oxide	Local	No record or none	Other agent¹	Thio- pental sodium	Regional	Spinal
Intracranial	16	1	5	24	31	8	42	31	---	33	1	---
Intravertebral	2	---	---	5	4	2	5	5	---	---	---	---
Maxillofacial	2	---	1	---	2	2	1	3	---	1	---	---
Cervical	6	---	1	---	2	5	3	7	---	3	---	---
Intrathoracic	31	---	1	20	33	22	9	18	1	11	---	---
Thoraco- abdominal	89	1	5	55	100	77	3	35	---	3	---	---
Combined intra- abdominal and intrathoracic	23	---	1	19	22	20	1	4	1	3	---	---
Intra- abdominal	119	2	25	107	112	96	---	96	1	8	---	---
Abdominal wall only	---	---	---	2	1	---	---	1	---	1	---	1
Upper extremity:
Soft tissue only	---	---	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	1	---	---	1	2	1	---	2	---	3	---	---
Lower extremity:
Soft tissue only	4	---	5	4	---	4	---	3	---	7	---	1
Bone and soft tissue	20	---	1	18	6	16	---	23	---	9	---	1
Unclassified multiple	11	---	---	22	16	9	3	14	---	8	---	---
Total	324	4	45	277	331	262	67	242	3	90	1	3

¹Including ethyl chloride used forinduction.

818

TABLE 6.-Oxygen therapy as relatedto principal wound

Principal wound	Oxygen before operation	Oxygen during operation	Oxygen after operation	No record of oxygen
Intracranial	25	21	20	240
Intravertebral	4	2	3	18
Maxillofacial	---	2	---	6
Cervical	8	8	2	13
Intrathoracic	22	35	24	74
Thoracoabdominal	18	99	39	90
Combined intra-abdominal and intrathoracic	12	24	9	24
Intra-abdominal	26	131	63	227
Abdominal wall only	---	1	1	1
Upper extremity:
Soft tissue only	1	---	---	3
Bone and soft tissue	---	1	1	9
Lower extremity:
Soft tissue only	1	5	7	21
Bone and soft tissue	6	21	21	72
Unclassified multiple	13	13	4	88
Total	136	363	194	886

TABLE 7.-Chemotherapy(bacteriostatic drugs¹and soda) as related to principal wound

Principal wound	Penicillin alone	Sulfonamide alone	Penicillin and sulfonamide	Soda² given	No soda reported	No record of chemotherapy
Intracranial	50	37	23	17	48	187
Intravertebral	8	4	4	2	8	11
Maxillofacial	2	1	---	---	1	5
Cervical	5	3	1	---	4	16
Intrathoracic	12	21	19	3	38	86
Thoracoabdominal	37	58	30	7	85	87
Combined intra-abdominal intrathoracic	13	15	5	4	19	26
Intra-abdominal	47	127	71	10	191	163
Abdominal wall only	---	1	---	---	1	2
Upper extremity:
Soft tissue only	1	---	---	1	---	3
Bone and soft tissue	1	5	---	1	4	4
Lower extremity:
Soft tissue only	4	13	3	4	14	11
Bone and soft tissue	12	35	14	7	45	53
Unclassified multiple	13	15	9	3	23	77
Total	205	335	179	59	481	731

¹Excluding sulfanilamide applied to wounds at timeof first aid dressing.
²Including 26 cases in which soda was given without a sulfonamide asan adjuvant to blood transfusion therapy.

819-820

TABLE 8.-Intravenous plasma therapy asrelated to principal wound

Principal wound	Units of plasma (one unit is 250 cc.)
Principal wound	¹0	1	2	3	4	5	6	7	8	9	10	11 or more
	Before admission to hospital
Intracranial	161	55	40	19	14	2	3	2	1	---	---	---
Intravertebral	10	7	4	4	1	---	---	---	---	1	---	---
Maxillofacial	5	1	2	---	---	---	---	---	---	---	---	---
Cervical	13	3	4	2	1	1	---	---	1	---	---	---
Intrathoracic	57	12	34	13	9	3	6	3	---	1	---	---
Thoracoabdominal	65	32	40	34	25	8	3	2	2	1	---	---
Combined intra-abdominal and intrathoracic	19	11	10	8	5	3	2	---	---	---	---	²1
Intra-abdominal	148	43	96	40	34	21	15	5	3	1	1	³1
Abdominal wall only	3	---	---	---	---	---	---	---	---	---	---	---
Upper extremity:
Soft tissue only	4	---	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	4	1	---	1	1	2	---	---	---	---	---	⁴1
Lower extremity:
Soft tissue only	18	2	5	3	1	---	1	---	1	---	---	---
Bone and soft tissue	36	13	21	16	12	4	4	4	2	1	1	---
Unclassified, multiple	57	19	15	14	3	2	1	---	3	---	---	---
Total cases	600	199	271	154	106	46	35	16	13	5	2	3
	After admission to hospital, before surgery
Intracranial	185	24	43	15	11	8	5	1	1	1	1	⁵2
Intravertebral	11	3	8	---	1	1	2	---	---	---	---	⁶1
Maxillofacial	5	---	1	1	---	---	---	1	---	---	---	---
Cervical	20	3	---	2	---	---	---	---	---	---	---	---
Intrathoracic	83	13	16	13	7	4	---	1	---	---	1	---
Thoracoabdominal	138	23	26	13	3	4	1	---	1	1	1	---
Combined intra-abdominal and intrathoracic	34	6	8	3	4	1	3	---	---	---	---	---
Intra-abdominal	248	27	61	33	20	5	6	2	2	2	---	⁷2
Abdominal wall only	2	---	---	1	---	---	---	---	---	---	---	---
Upper extremity:
Soft tissue only	2	1	---	---	---	---	---	1	---	---	---	---
Bone and soft tissue	7	1	---	---	---	---	1	---	---	1	---	---
Lower extremity:
Soft tissue only	20	4	3	1	3	---	---	---	---	---	---	---
Bone and soft tissue	58	14	11	6	6	6	4	2	3	1	1	⁸2
Unclassified, multiple	58	15	18	5	4	5	4	---	1	---	1	⁹4
Total cases	871	134	195	93	59	34	26	8	8	6	⁵	11
	During surgery
Intracranial	280	8	6	1	1	1	---	---	^---	---	---	---
Intravertebral	26	---	---	1	---	---	---	^---	---	---	---	---
Maxillofacial	8	1	---	---	---	---	^---	---	---	---	---	---
Cervical	22	--	1	---	1	^---	1	---	---	---	---	---
Intrathoracic	133	3	1	---	¹	---	---	---	---	---	---	---
Thoracoabdominal	193	4	10	^---	1	1	1	1	1	---	---	---
Combined intra-abdominal and intrathoracic	48	4	²	2	---	1	1	---	---	---	1	---
Intra-abdominal	356	⁸	19	10	6	2	1	---	2	1	1	1
Abdominal wall only	³	---	---	---	---	---	---	---	---	---	---	---
^{Upper extremity:}
Soft tissue only	4	---	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	10	---	---	---	---	---	---	---	---	---	---	---
Lower extremity:
Soft tissue only	22	2	1	2	4	---	---	---	---	---	---	---
Bone and soft tissue	96	3	12	2	1	---	---	---	---	1	---	---
Unclassified, multiple	108	4	2	---	---	---	---	---	---	---	---	1
Total cases	1,309	37	54	16	15	5	4	1	3	2	2	2
	After surgery
Intracranial	275	7	6	---	1	---	2	1	3	1	---	---
Intravertebral	25	1	1	---	---	---	---	---	---	---	---	---
Maxillofacial	7	---	1	---	---	---	---	---	---	---	---	---
Cervical	23	2	---	---	---	---	---	---	---	---	---	---
Intrathoracic	127	3	6	---	1	---	---	---	1	---	---	---
Thoracoabdominal	183	11	7	2	3	1	3	---	1	---	1	---
Combined intra-abdominal and intrathoracic	46	3	4	2	1	---	2	1	---	---	---	---
Intra-abdominal	331	16	24	12	12	4	6	---	---	---	---	³1
Abdominal wall only	2	---	---	1	---	---	---	---	---	---	---	---
Upper extremity:
Soft tissue only	4	---	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	9	---	1	---	---	---	---	---	---	---	---	---
Lower extremity:
Soft tissue only	23	5	2	---	---	---	1	---	---	---	---	---
Bone and soft tissue	93	2	7	4	3	1	1	1	1	1	---	---
Unclassified, multiple	103	3	6	---	1	---	---	1	1	---	2	---
Total cases	1,251	53	65	21	22	6	15	4	7	2	3	1

¹No record of plasma administration, or none given.
²12 units.
³14 units.
⁴11 units.
⁵11 units, 17 units.
⁶18 units.
⁷13 units.
⁸12 units, 17 units.
⁹13 units, 14 units, 29 units (given over period of 4 days-abdominalwound, severed popliteal artery, multiple fractures, and clostridial myositis).

821-822

TABLE 9.-Blood transfusion therapy as related to principal wound

Principal wound	Units of blood (one unit is 500 cc.)
Principal wound	¹0	1	2	3	4	5	6	7	8	9	10	11 or more
	Before surgery
Intracranial	211	37	27	9	6	2	3	1	1	---	---	---
Intravertebral	14	4	5	2	1	1	---	---	---	---	---	---
Maxillofacial	5	1	1	1	---	---	---	---	---	---	---	---
Cervical	12	4	3	4	1	---	---	---	---	---	1	---
Intrathoracic	66	29	18	8	9	6	1	---	1	---	---	---
Thoracoabdominal	78	33	39	23	18	6	8	3	1	3	---	---
Combined intra-abdominal and intrathoracic	25	9	9	6	5	1	2	---	---	1	1	---
Intra-abdominal	165	56	65	45	41	14	11	5	2	1	3	---
Abdominal wall only	2	1	---	---	---	---	---	---	---	---	---	---
Upper extremity:
Soft tissue only	3	---	---	1	---	---	---	---	---	---	---	---
Bone and soft tissue	7	1	1	---	1	---	---	---	---	---	---	---
Lower extremity:
Soft tissue only	22	1	2	3	2	1	---	---	---	---	---	---
Bone and soft tissue	53	16	16	7	10	7	2	2	1	---	---	---
Unclassified, multiple	44	27	15	12	9	3	2	---	1	---	---	1
Total cases	707	219	201	121	103	41	29	11	7	5	5	1
	During surgery
Intracranial	243	20	21	8	2	---	2	---	1	---	---	---
Intravertebral	21	2	1	2	---	1	---	---	---	---	---	---
Maxillofacial	8	---	---	---	---	---	---	---	---	---	---	---
Cervical	21	1	2	---	---	---	---	---	1	---	---	---
Intrathoracic	117	9	7	1	3	---	1	---	---	---	---	---
Thoracoabdominal	132	15	34	16	5	3	6	---	1	---	---	---
Combined intra-abdominal and intrathoracic	34	8	6	5	2	2	1	1	---	---	---	---
Intra-abdominal	257	30	53	29	18	6	5	3	1	4	1	1
Abdominal wall only	3	---	---	---	---	---	---	---	---	---	---	---
Upper extremity:
Soft tissue only	4	---	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	10	---	---	---	---	---	---	---	---	---	---	---
Lower extremity:
Soft tissue only	19	4	3	4	1	---	---	---	---	---	---	---
Bone and soft tissue	72	6	22	6	1	2	3	1	---	---	1	---
Unclassified, multiple	96	8	5	---	1	2	---	2	---	---	---	---
Total cases	1,037	103	154	71	33	16	18	7	4	4	²	1
	After surgery
Intracranial	267	11	10	2	4	1	1	---	¹	---	---	---
Intravertebral	23	2	2	---	---	---	---	^---	---	---	---	---
Maxillofacial	6	1	1	---	---	---	^---	---	---	---	---	---
Cervical	20	4	---	1	---	^---	---	---	---	---	---	---
Intrathoracic	112	13	5	4	³	1	---	---	---	---	---	---
Thoracoabdominal	159	26	14	²	2	4	1	---	2	2	---	---
Combined intra-abdominal and intrathoracic	43	5	⁷	1	3	---	---	---	---	---	---	---
Intra-abdominal	287	⁴⁸	30	13	10	9	4	1	2	2	1	²1
Abdominal wall only	³	---	---	---	---	---	---	---	---	---	---	---
^{Upper extremity:}
Soft tissue only	4	---	---	---	---	---	---	---	---	---	---	---
Bone and soft tissue	9	---	1	---	---	---	---	---	---	---	---	---
Lower extremity:
Soft tissue only	23	3	2	---	3	---	---	---	---	---	---	---
Bone and soft tissue	80	11	4	5	3	5	2	2	1	---	1	---
Unclassified, multiple	93	10	7	2	2	---	---	---	---	---	---	---
Total cases	1,129	134	83	30	30	20	8	3	6	4	2	1

¹No record of intravenous administration of blood, or none given.
²12 units.

TABLE 10.-Lowest recorded systolic blood pressure¹ for cases in shock as related to principal wound

Principal wound	Arterial tension in mm. Hg
Principal wound	Zero	2-38	40-58	60-78	80-88	90-98
Intracranial	16	---	5	18	10	10
Intravertebral	3	---	3	1	2	5
Maxillofacial	---	---	1	---	---	---
Cervical	4	---	2	---	1	3
Intrathoracic	13	---	2	7	10	9
Thoracoabdominal	18	1	10	23	12	5
Combined intra-abdominal and intrathoracic	11	---	5	4	6	1
Intra-abdominal	58	3	19	21	18	16
Abdominal wall only	---	---	---	---	---	---
Upper extremity:
Soft tissue only	2	---	1	---	---	---
Bone and soft tissue	3	---	---	---	---	---
Lower extremity:
Soft tissue only	3	1	---	2	1	1
Bone and soft tissue	14	1	4	12	3	3
Unclassified, multiple	13	---	5	9	6	5
Total cases	158	6	57	97	69	58

¹Excluding a gradual terminal decline immediately preceding death.

823

TABLE 11.-Nature of evidence for shock in cases withoutrecorded hypotension as related to principal wound

Principal wound	Blood pressure 100 or more, but pulse rapid and weak¹	Blood pressure 100 or more, but shock recorded	Presence of shock recorded	Shock suspected by inference	Therapy suggests shock	No evidence of shock
Intracranial	10	---	30	13	63	122
Intravertebral	---	---	3	---	4	6
Maxillofacial	---	---	---	1	4	2
Cervical	1	---	3	1	5	5
Intrathoracic	3	---	23	24	40	7
Thoracoabdominal	5	---	44	17	72	5
Combined intra-abdominal and intrathoracic	---	---	10	1	19	2
Intra-abdominal	8	2	93	45	119	6
Abdominal wall only	---	---	---	---	---	3
Upper extremity:
Soft tissue only	---	---	---	1	---	---
Bone and soft tissue	---	---	---	---	4	3
Lower extremity:
Soft tissue only	---	---	10	3	4	6
Bone and soft tissue	1	---	26	11	34	5
Unclassified, multiple	1	---	31	17	20	7
Total	29	2	273	134	388	179

¹No comment on shock in the case reports.

TABLE 12.-Urinary output as related to principal wound

Principal wound	Output adequate	Apparently adequate but record incomplete	Anuria¹	Oliguria² recorded	Oliguria suspected	No record
Intracranial	3	9	2	3	2	278
Intravertebral	---	3	---	1	2	21
Maxillofacial	---	---	---	---	---	8
Cervical	2	1	---	1	---	21
Intrathoracic	5	2	1	2	---	128
Thoracoabdominal	7	6	5	14	7	173
Combined intra-abdominal and intrathoracic	2	---	---	7	---	50
Intra-abdominal	12	7	13	32	11	333
Abdominal wall only	---	---	---	---	---	3
Upper extremity:
Soft tissue only	---	---	---	1	---	3
Bone and soft tissue	1	---	---	---	---	9
Lower extremity:
Soft tissue only	1	1	1	3	1	24
Bone and soft tissue	3	3	---	9	---	99
Unclassified, multiple	1	1	---	4	2	106
Total cases	37	33	22	77	25	1,256

¹Less than 100 cc. per diem.
²100 to 800 cc. per diem.

824

TABLE 13.-Miscellaneous observations as related to principal wound

Principal wound	Burns present	Coma on admission	Exposure, severe, before admission	Hemorrhage, profuse, after admission	Peritoneal closure impossible	Tourniquet used before admission
Intracranial	4	167	4	15	---	1
Intravertebral	---	1	---	---	---	---
Maxillofacial	1	1	---	---	---	---
Cervical	---	4	---	5	---	1
Intrathoracic	3	9	1	---	---	1
Thoracoabdominal	1	2	---	3	4	1
Combined intra-abdominal and intrathoracic	---	3	---	1	1	1
Intra-abdominal	3	8	2	29	3	7
Abdominal wall only	---	---	---	---	---	---
Upper extremity:
Soft tissue only	---	1	---	---	---	---
Bone and soft tissue	---	1	---	---	---	3
Lower extremity:
Soft tissue only	1	1	1	1	---	3
Bone and soft tissue	4	4	1	3	---	19
Unclassified, multiple	11	16	1	1	---	5
Total cases	28	218	10	58	8	42

TABLE 14.-Data relative to distribution of deaths in field and evacuation hospitals

Principal wound	Field hospital	Evacuation hospital¹	Transfer²	Transfer³
Intracranial	25	272	4	32
Intravertebral	2	25	---	5
Maxillofacial	---	8	---	1
Cervical	9	16	---	1
Intrathoracic	54	84	3	8
Thoracoabdominal	113	99	7	2
Combined intra-abdominal and intrathoracic	29	30	1	---
Intra-abdominal	215	193	7	3
Abdominal wall only	1	2	1	---
Upper extremity:
Soft tissue only	1	3	---	---
Bone and soft tissue	2	8	1	1
Lower extremity:
Soft tissue only	5	26	2	---
Bone and soft tissue	32	82	2	2
Unclassified, multiple	17	97	2	10
Total cases	505	945	30	65

¹Including figures in last two columns.
²Primary surgery done in field hospital, and patient died in evacuation hospital after transfer.
³Patient seen in field hospital and transferred to evacuation hospital for primary surgery.

825

TABLE 15.-Post mortem examinations as related to principal wound

Principal wound	No autopsy done	Gross reported, not no microscopic	Gross reported, microscopic not reported	Gross and microscopic reported
Intracranial	141	48	10	98
Intravertebral	13	1	1	12
Maxillofacial	2	3	---	3
Cervical	8	9	1	7
Intrathoracic	69	34	2	33
Thoracoabdominal	79	76	13	44
Combined intra-abdominal and intrathoracic	15	22	1	21
Intra-abdominal	193	130	14	71
Abdominal wall only	2	---	---	1
Upper extremity:
Soft tissue only	3	1	---	---
Bone and soft tissue	6	2	---	2
Lower extremity:
Soft tissue only	11	5	5	10
Bone and soft tissue	60	20	10	24
Unclassified, multiple	73	14	4	23
Total cases	675	365	61	349

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