For offer, a rare piece of historical ephemera. Fresh from a prominent estate in Upstate NY. Never offered on the market until now. Vintage, Old, Original, Antique, NOT a Reproduction - Guaranteed !!
Man in chair has one leg amputated. His hands look to be possibly crippled as well. Probably a Civil War vet. Postmark of Niwot, Colorado, with manuscript message on back. Sent to George Shattuck, East Worcester, Otsego County, NY. The milk cans have the town of Niwot on them. In good condition overall - wear to edges and corners, creases to le corners. Please see photos. If you collect 19th century Americana history, American Fraternal, military, GAR, medical, etc. this is a treasure you will not see again! Add this to your image or paper / ephemera collection. Important genealogy research importance too. Combine shipping on multiple bid wins! 2459
Niwot is an unincorporated town, a post office, and a census-designated place (CDP) located in Boulder County, Colorado, United States. The Niwot post office has the ZIP Codes 80503 and 80544 (for post office boxes).[3] At the United States Census 2010, the population of the Niwot CDP was 4,006, while the population of the 80503 ZIP Code Tabulation Area was 31,064 including adjacent areas.[4] Boulder County governs the unincorporated town.
With a per capita income of $39,943, Niwot is ranked as the 17th wealthiest location in Colorado.
Additionally, this locality is recognized for being the headquarters of footwear company, Crocs, Inc.
Niwot is named for Arapaho Chief Niwot, a tribal leader in the Boulder area during the nineteenth century.[5] The name means "left-handed".
Nearby towns :
Cities
Boulder
Lafayette
Longmont (partly in Weld County)
Louisville
Towns
Erie (partly in Weld County)
Jamestown
Lyons
Nederland
Superior (partly in Jefferson County)
Town of Ward
Census-designated places
Allenspark
Altona
Bark Ranch
Bonanza Mountain Estates
Coal Creek (partly in Gilpin County and Jefferson County)
Crisman
Eldora
Eldorado Springs
Glendale
Gold Hill
Gunbarrel
Hidden Lake
Lazy Acres
Leyner
Mountain Meadows
Niwot
Paragon Estates
Pine Brook Hill
Seven Hills
St. Ann Highlands
Sugarloaf
Sunshine
Tall Timber
Valmont
Wondervu
Other unincorporated communities
Caribou
Canfield
Gooding
Hygiene
Highland
Liggett
Morey
Pleasant View Ridge (party in Weld County)
Tabor
Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventive surgery for such problems. A special case is that of congenital amputation, a congenital disorder, where fetal limbs have been cut off by constrictive bands. In some countries, such as the United States[1][2] and Iran,[3] amputation was proposed, was formerly used, or is currently used to punish people who committed crimes.[4][5][6] Amputation has also been used as a tactic in war and acts of terrorism; it may also occur as a war injury. In some cultures and religions, minor amputations or mutilations are considered a ritual accomplishment.[7][8][9]
When done by a person, the person executing the amputation is an amputator.[10] The amputated person is called an amputee.[11]
In the US, the majority of new amputations occur due to complications of the vascular system (the blood vessels), especially from diabetes. Between 1988 and 1996, there were an average of 133,735 hospital discharges for amputation per year in the US.[12] In 2005, just in the US, there were 1.6 million amputees.[13] In 2013, the US has 2.1 million amputees. Approximately 185,000 amputations occur in the United States each year. In 2009, hospital costs associated with amputation totaled more than $8.3 billion.[14] There will be an estimated 3.6 million people in the US living with limb loss by 2050.[15] African Americans are up to four times more likely to have an amputation than European Americans.[16]
Types
Leg
Lower limb amputations can be divided into two broad categories: minor and major amputations. Minor amputations generally refer to the amputation of digits. Major amputations are commonly below-knee- or above-knee amputations. Common partial foot amputations include the Chopart, Lisfranc, and ray amputations.
Common forms of ankle disarticulations include Pyrogoff, Boyd, and Syme amputations.[17] 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.
Types of amputations include:
An above-knee amputation
partial foot amputation
amputation of the lower limb distal to the ankle joint
ankle disarticulation
amputation of the lower limb at the ankle joint
trans-tibial amputation
amputation of the lower limb between the knee joint and the ankle joint, commonly referred to as a below-knee amputation
knee disarticulation
amputation of the lower limb at the knee joint
trans-femoral amputation
amputation of the lower limb between the hip joint and the knee joint, commonly referred to an above-knee amputation
hip disarticulation
amputation of the lower limb at the hip joint
trans-pelvic disarticulation
amputation of the whole lower limb together with all or part of the pelvis, also known as a hemipelvectomy or hindquarter amputation
Arm
The 18th century guide to amputations
Types of upper extremity amputations include:
partial hand amputation
wrist disarticulation
trans-radial amputation, commonly referred to as below-elbow or forearm amputation
elbow disarticulation
trans-humeral amputation, commonly referred to as above-elbow amputation
shoulder disarticulation
forequarter amputation
A variant of the trans-radial amputation is the Krukenberg procedure in which the radius and ulna are used to create a stump capable of a pincer action.
Other
Partial amputation of index finger.
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Facial amputations include but are not limited to:
amputation of the ears
amputation of the nose (rhinotomy)
amputation of the tongue (glossectomy).
amputation of the eyes (enucleation).
amputation of the teeth. Removal of teeth, mainly incisors, is or was practiced by some cultures for ritual purposes (for instance in the Iberomaurusian culture of Neolithic North Africa).
Breasts:
amputation of the breasts (mastectomy).
Genitals:
amputation of the testicles (castration).
amputation of the penis (penectomy).
amputation of the foreskin (circumcision).
amputation of the clitoris (clitoridectomy).
Hemicorporectomy, or amputation at the waist, and decapitation, or amputation at the neck, are the most radical amputations.
Genital modification and mutilation may involve amputating tissue, although not necessarily as a result of injury or disease.
Nails are typically trimmed with nail clippers, but this is not typically considered amputation.
Self-amputation
See also: Autotomy and Body integrity identity disorder
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 his or her 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]
Body integrity identity disorder is a psychological condition in which an individual feels compelled to remove one or more of their body parts, usually a limb. In some cases, that individual may take drastic measures to remove the offending appendages, either by causing irreparable damage to the limb so that medical intervention cannot save the limb, or by causing the limb to be severed.
Causes
Circulatory disorders
Diabetic vasculopathy
Sepsis with peripheral necrosis
Peripheral artery disease which can lead to Gangrene
Neoplasm
Transfemoral amputation due to liposarcoma
Cancerous bone or soft tissue tumors (e.g. osteosarcoma, chondrosarcoma, fibrosarcoma, epithelioid sarcoma, Ewing's sarcoma, synovial sarcoma, sacrococcygeal teratoma, liposarcoma), melanoma
Trauma
Three fingers from a soldier's right hand were traumatically amputated during World War I.
Severe limb injuries in which the limb cannot be saved or efforts to save the limb fail.
Traumatic amputation (an unexpected amputation that occurs at the scene of an accident, where the limb is partially or entirely severed as a direct result of the accident, for example, a finger that is severed from the blade of a table saw)
Amputation in utero (Amniotic band)
Congenital anomalies
Deformities of digits and/or limbs (e.g., proximal femoral focal deficiency, Fibular hemimelia)
Extra digits and/or limbs (e.g., polydactyly)
Infection
Bone infection (osteomyelitis) and/or diabetic foot infections
Gangrene
Trench foot
Necrosis
Meningococcal meningitis
Streptococcus
Vibrio vulnificus
Necrotizing fasciitis
Gas gangrene
Legionella
Influenza A Virus
Animal bites
Sepsis
Bubonic plague
Frostbite
Frostbite, also known as frostnip, happens when the individual's skin is exposed to cold weather for too long. The fluid in the pale skin solidifies, creating ice crystals, leading to swelling and severe pain. Other symptoms can include numbness, confusion, dizziness, fatigue, nausea, stiffness in the muscles or joints as well as difficulty walking. If the frostbite doesn't get treated soon, this process results in hypothermia, death or poisoning of the bloodstream.
This can affect the hands, feet, toes, fingers, eyes, and face. Once the frostbite shuts the eyelids, this is known as snow blindness. The only way to stop it from spreading is through skin grafts or amputation.
Athletic performance
Sometimes professional athletes may choose to have a non-essential digit amputated to relieve chronic pain and impaired performance.
Australian Rules footballer Daniel Chick elected to have his left ring finger amputated as chronic pain and injury was limiting his performance.[19]
Rugby union player Jone Tawake also had a finger removed.[20]
National Football League safety Ronnie Lott had the tip of his little finger removed after it was damaged in the 1985 NFL season.
Criminal penalty
According to Islamic Sharia Law, the punishment for stealing is the amputation of the hand and after repeated offense, the foot (Quran 5:38). This is still in practice today in countries like Iran (since the Islamic Revolution in 1979[3]),[21][22] Saudi Arabia,[23] and 11 states of Northern Nigeria (since 1999, and only applied on Muslim people[24]).[25]
The United States considers amputation to be more severe than other punishments but less than death penalty, expressed in the double jeopardy clause: "nor shall any person be subject for the same offence to be twice put in jeopardy of life or limb...".[2] Thomas Jefferson proposed a bill penalizing various crimes with amputation, such as "if a man, by castration, if a woman, by cutting thro' the cartilage of her nose a hole of one half inch diameter at the least" and "cutting out or disabling the tongue, slitting or cutting off a nose, lip or ear, branding, or otherwise, shall be maimed or disfigured in like sort: or if that cannot be for want of the same part, then as nearly as may be in some other part of at least equal value and estimation in the opinion of a jury".[1] That bill is not a current law, so it either did not gain enough approval to become law, or it has since been repealed.
As of 2021, this form of punishment is controversial, as most modern cultures consider it to be morally abhorrent, as it has the effect of permanently disabling a person and constitutes torture. It is thus seen as a grossly disproportional for crimes less than those such as murder.[26]
Surgery
Method
This article contains instructions, advice, or how-to content. The purpose of Wikipedia is to present facts, not to train. Please help improve this article either by rewriting the how-to content or by moving it to Wikiversity, Wikibooks or Wikivoyage. (May 2018)
Curved knives such as this one were used, in the past, for some kinds of amputations.
The first step is ligating the supplying artery and vein, to prevent hemorrhage (bleeding). The muscles are transected, and finally, the bone is sawed through with an oscillating saw. 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.
Distal stabilisation of muscles is recommended. This allows effective muscle contraction which reduces atrophy, allows functional use of the stump and maintains soft tissue coverage of the remnant bone. The preferred stabilisation technique is myodesis where the muscle is attached to the bone or its periosteum. In joint disarticulation amputations tenodesis may be used where the muscle tendon is attached to the bone. Muscles should be attached under similar tension to normal physiological conditions.[27]
An experimental technique known as the "Ewing amputation" aims to improve post-amputation proprioception.[28][29]
In 1920, Professor Janos Ertl, Sr., MD, of Hungary, developed the Ertl procedure in order to return a high number of amputees to the work force.[30] The Ertl technique, an osteomyoplastic procedure for transtibial amputation, can be used to create a highly functional residual limb. Creation of a tibiofibular bone bridge provides a stable, broad tibiofibular articulation that may be capable of some distal weight bearing. Several different modified techniques and fibular bridge fixation methods have been used; however, no current evidence exists regarding comparison of the different techniques.[31]
Post-operative management
A 2019 Cochrane systematic review aimed to determine whether rigid dressings were more effective than soft dressings in helping wounds heal following transtibial (below the knee) amputations. 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. They recommended that clinicians consider the pros and cons of each dressing type on a case-by-case basis e.g. rigid dressings may potentially benefit patients who have a high risk of falls and soft dressings may potentially benefit patients who have poor skin integrity.[32]
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.[33]
Post-operative management, in addition to wound healing, should consider maintenance of limb strength, joint range, edema management, preservation of the intact limb (if applicable) and stump desensitisation.
Trauma
Traumatic amputation is the partial or total avulsion of a part of a body during a serious accident, like traffic, labor, or combat.[34][35]
Traumatic amputation of a human limb, either partial or total, creates the immediate danger of death from blood loss.https://www.reliasmedia.com/articles/140552-traumatic-amputations
Orthopedic surgeons often assess the severity of different injuries using the Mangled Extremity Severity Score. Given different clinical and situational factors, they can predict the likelihood of amputation. This is especially useful for emergency physicians to quickly evaluate patients and decide on consultations.[36]
Causes
Private Lewis Francis was wounded July 21, 1861, at the First Battle of Bull Run by a bayonet to the knee.
Traumatic amputation is uncommon in humans (1 per 20,804 population per year). Loss of limb usually happens immediately during the accident, but sometimes a few days later after medical complications. Statistically, the most common causes of traumatic amputations are:[citation needed]
Traffic accidents (cars, motorcycles, bicycles, trains, etc.)
Labor accidents (equipment, instruments, cylinders, chainsaws, press machines, meat machines, wood machines, etc.)
Agricultural accidents, with machines and mower equipment
Electric shock hazards
Firearms, bladed weapons, explosives
Violent rupture of ship rope or industry wire rope
Ring traction (ring amputation, de-gloving injuries)
Building doors and car doors
Animal attacks
Gas cylinder explosions[37]
Other rare accidents[citation needed]
Treatment
The development of the science of microsurgery over the last 40 years has provided several treatment options for a traumatic amputation, depending on the patient's specific trauma and clinical situation:
1st choice: Surgical amputation - break - prosthesis
2nd choice: Surgical amputation - transplantation of other tissue - plastic reconstruction.
3rd choice: Replantation - reconnection - revascularisation of amputated limb, by microscope (after 1969)
4th choice: Transplantation of cadaveric hand (after 2000),[38]
Epidemiology
In the United States in 1999, there were 14,420 non-fatal traumatic amputations according to the American Statistical Association. Of these, 4,435 occurred as a result of traffic and transportation accidents and 9,985 were due to labor accidents. Of all traumatic amputations, the distribution percentage is 30.75% for traffic accidents and 69.24% for labor accidents.[39]
The population of the United States in 1999 was about 300,000,000, so the conclusion is that there is one amputation per 20,804 persons per year. In the group of labor amputations, 53% occurred in laborers and technicians, 30% in production and service workers, 16% in silviculture and fishery workers.[39]
A study found that in 2010, 22.8% of patients undergoing amputation of a lower extremity in the United States were readmitted to the hospital within 30 days.[40]
Prevention
Methods in preventing amputation, limb-sparing techniques, depend on the problems that might cause amputations to be necessary. Chronic infections, often caused by diabetes or decubitus ulcers in bedridden patients, are common causes of infections that lead to gangrene, which would then necessitate amputation.
There are two key challenges: first, many patients have impaired circulation in their extremities, and second, they have difficulty curing infections in limbs with poor vasculation (blood circulation).
Crush injuries where there is extensive tissue damage and poor circulation also benefit from hyperbaric oxygen therapy (HBOT). The high level of oxygenation and revascularization speed up recovery times and prevent infections.
A study found that the patented method called Circulator Boot achieved significant results in prevention of amputation in patients with diabetes and arteriosclerosis.[41][42] Another study found it also effective for healing limb ulcers caused by peripheral vascular disease.[43] The boot checks the heart rhythm and compresses the limb between heartbeats; the compression helps cure the wounds in the walls of veins and arteries, and helps to push the blood back to the heart.[44]
For victims of trauma, advances in microsurgery in the 1970s have made replantations of severed body parts possible.
The establishment of laws, rules, and guidelines, and employment of modern equipment help protect people from traumatic amputations.[citation needed]
Prognosis
The individual may experience psychological trauma and emotional discomfort. The stump will remain an area of reduced mechanical stability. Limb loss can present significant or even drastic practical limitations.
A large proportion of amputees (50–80%) experience the phenomenon of phantom limbs;[45] they feel body parts that are no longer there. These limbs can itch, ache, burn, feel tense, dry or wet, locked in or trapped or they can feel as if they are moving. Some scientists believe it has to do with a kind of neural map that the brain has of the body, which sends information to the rest of the brain about limbs regardless of their existence. Phantom sensations and phantom pain may also occur after the removal of body parts other than the limbs, e.g. after amputation of the breast, extraction of a tooth (phantom tooth pain) or removal of an eye (phantom eye syndrome).
A similar phenomenon is unexplained sensation in a body part unrelated to the amputated limb. It has been hypothesized that the portion of the brain responsible for processing stimulation from amputated limbs, being deprived of input, expands into the surrounding brain, (Phantoms in the Brain: V.S. 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[citation needed].
In many cases, the phantom limb aids in adaptation to a prosthesis, as it permits the person to experience proprioception of the prosthetic limb. 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.
Another side effect can be heterotopic ossification, especially when a bone injury is combined with a head injury. 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. This type of injury has been especially common among soldiers wounded by improvised explosive devices in the Iraq War.[46]
Due to technologic advances in prosthetics, many amputees live active lives with little restriction. Organizations such as the Challenged Athletes Foundation have been developed to give amputees the opportunity to be involved in athletics and adaptive sports such as Amputee Soccer.
Nearly half of the individuals who have an amputation due to vascular disease will die within 5 years, usually secondary to the extensive co-morbidities rather than due to direct consequences of amputation. This is higher than the five year mortality rates for breast cancer, colon cancer, and prostate cancer.[47] Of persons with diabetes who have a lower extremity amputation, up to 55% will require amputation of the second leg within two to three years.[48]
Etymology
The word amputation is derived from the Latin amputare, "to cut away", from ambi- ("about", "around") and putare ("to prune"). 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.[citation needed]
Notable cases
Rick Allen
Douglas Bader
Carl Brashear
Lisa Bufano
Tammy Duckworth
Terry Fox
Pete Gray
Shaquem Griffin
Robert David Hall
Bethany Hamilton
Hugh Herr
Frida Kahlo
Aimee Mullins
Oscar Pistorius
Amy Purdy
Aron Ralston
Hans-Ulrich Rudel
Alex Zanardi
Ronnie Lott
Hari Budha Magar
The American Civil War (also known by other names) was a civil war in the United States from 1861 to 1865, fought between northern states loyal to the Union and southern states that had seceded to form the Confederate States of America.[e] The civil war began as a result of the unresolved controversy of the enslavement of black people and its disputed continuance. War broke out in April 1861 when secessionist forces attacked Fort Sumter in South Carolina, just over a month after Abraham Lincoln had been inaugurated as the president of the United States. The loyalists of the Union in the North, which also included some geographically western and southern states, proclaimed support for the Constitution. They faced secessionists of the Confederate States in the South, who advocated for states' rights to uphold slavery.
Of the 34 U.S. states in February 1861, seven Southern slave states were declared by their state governments to have seceded from the country, and the Confederate States of America was organized in rebellion against the U.S. constitutional government. The Confederacy grew to control at least a majority of territory in eleven states, and it claimed the additional states of Kentucky and Missouri by assertions from native secessionists fleeing Union authority. These states were given full representation in the Confederate Congress throughout the Civil War. The two remaining slave states, Delaware and Maryland, were invited to join the Confederacy, but nothing substantial developed due to intervention by federal troops.
The Confederate states were never diplomatically recognized as a joint entity by the government of the United States, nor by that of any foreign country.[f] The states that remained loyal to the U.S. were known as the Union.[g] The Union and the Confederacy quickly raised volunteer and conscription armies that fought mostly in the South for four years. Intense combat left between 620,000 and 750,000 soldiers dead,[14] along with an undetermined number of civilians.[h] The Civil War remains the deadliest military conflict in American history,[i] and accounted for more American military deaths than all other wars combined until the Vietnam War.[j]
The war effectively ended on April 9, 1865, when Confederate General Robert E. Lee surrendered to Union General Ulysses S. Grant at the Battle of Appomattox Court House. Confederate generals throughout the Southern states followed suit, the last surrender on land occurring June 23. Much of the South's infrastructure was destroyed, especially its railroads. The Confederacy collapsed, slavery was abolished, and four million enslaved Black people were freed. The war-torn nation then entered the Reconstruction era in a partially successful attempt to rebuild the country and grant civil rights to freed slaves.
The Civil War is one of the most studied and written about episodes in U.S. history, and remains the subject of cultural and historiographical debate. Of particular interest are the causes of the Civil War and the persisting myth of the Lost Cause of the Confederacy. The American Civil War was among the earliest industrial wars. Railroads, the telegraph, steamships and iron-clad ships, and mass-produced weapons were employed extensively. The mobilization of civilian factories, mines, shipyards, banks, transportation, and food supplies all foreshadowed the impact of industrialization in World War I, World War II, and subsequent conflicts.
The Grand Army of the Republic (GAR) was a fraternal organization composed of veterans of the Union Army (United States Army), Union Navy (U.S. Navy), Marines and the U.S. Revenue Cutter Service who served in the American Civil War. It was founded in 1866 in Springfield, Illinois, and grew to include hundreds of "posts" (local community units) across the nation (predominantly in the North, but also a few in the South and West). It was dissolved in 1956 at the death of its last member, Albert Woolson (1850–1956) of Duluth, Minnesota.
Linking men through their experience of the war, the G.A.R. became among the first organized advocacy groups in American politics, supporting voting rights for black veterans, promoting patriotic education, helping to make Memorial Day a national holiday, lobbying the United States Congress to establish regular veterans' pensions, and supporting Republican political candidates. Its peak membership, at 410,000, was in 1890, a high point of various Civil War commemorative and monument dedication ceremonies. It was succeeded by the Sons of Union Veterans of the Civil War (SUVCW), composed of male descendants of Union Army and Union Navy veterans.
The Confederate equivalent of the GAR was the United Confederate Veterans.