HEALTH Oldest medical amputation on record was performed on a Stone Age child in Borneo 31,000 years ago

Dozdoats

On TB every waking moment
I usually delete the popup stuff, but I left it here since it seemed anyone interested in the OP might like the additional material.


Oldest medical amputation on record was performed on a Stone Age child in Borneo 31,000 years ago
By Jennifer Nalewicki published 5 days ago

The early removal of a leg was performed on a young hunter-gatherer.

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Artist impression of Tebo. The individual had their lower left leg amputated as a child and survived into early adulthood in an artistic community 31,000 years ago in Borneo.
An artist's illustration of the young hunter-gatherer, whose leg was amputated by a skilled prehistoric surgeon. (Image credit: Jose Garcia (Garciartist) and Griffith University.)
About 31,000 years ago, a skilled prehistoric surgeon cut off the lower leg of a child hunter-gatherer in Borneo. Now, archaeologists have concluded that this ancient surgery is the earliest medical amputation on record.

The skill of the Stone Age surgeon was admirable; the patient went on to live an additional six to nine years after the surgery, a radiocarbon dating performed by researchers of the individual's tooth enamel revealed, according to a study published online Wednesday (Sept. 7) in the journal Nature(opens in new tab).

"It was a huge surprise that this ancient forager survived a very serious and life-threatening childhood operation, that the wound healed to form a stump and that they then lived for years in mountainous terrain with altered mobility," study co-author Melandri Vlok, a bioarchaeologist and postdoctoral research associate at the University of Sydney," said in a statement. "[This suggests] a high degree of community care."

An international team of archaeologists discovered the youth's skeletal remains inside a limestone cave known as Liang Tebo on the Indonesian portion of Borneo during an archaeological excavation in 2020. The cave is remote, and accessible by boat only at certain times each year, the researchers said.

Related: Dozens of decapitated skeletons uncovered at ancient Roman site in England

The skeleton's lower leg, including the foot, were "removed through deliberate surgical amputation" and "tell-tale bony growths related to healing" suggest that the limb was surgically amputated, and not the result of an animal attack or some other tragic accident, according to the statement. Archaeologists haven't determined why the child's leg had to be amputated.

A skeleton found in Borneo that underwent a leg amputation.

The skeletal remains of the individual with an amputated leg who lived in Borneo 31,000 years ago. (Image credit: Tim Maloney)
Prior to this find, the earliest evidence of an amputation on a human involved a 7,000-year-old skeleton of an elderly male Stone Age farmer, whose left forearm had been surgically removed, according to a 2007 study published in the journal Nature Precedings(opens in new tab).

Before that time stamp, scholars thought that humans lacked the knowledge and tools needed to successfully perform complex surgeries, which often involves navigating a network of blood vessels, nerves and muscles. However, this finding reveals that humans "must have had detailed knowledge of limb anatomy and muscular and vascular systems to expose and negotiate the veins, vessels, and nerves and prevent fatal blood loss and infection," according to the new study.

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Artist’s conception Vera Planert. Showing a mother and child (with left foot amputated) making handprints on the cave ceiling.
An artist's illustration showing a mother and a child with an amputated leg making handprints on the cave ceiling.(Image credit: Vera Planert)

Maxime Aubert and Pindi Setiawan, Gua Ham. Here we see 2 adults standing in a cave. One is wearing a headlamp.
Study co-authors Maxime Aubert and Pindi Setiawan stand inside the cave.(Image credit: Kinez Riza)

India Ella Dilkes-Hall of the University of Western Australia, during the excavation.(Image credit: TK)

"What the new finding in Borneo demonstrates is that humans already had the ability to successfully amputate diseased or damaged limbs long before we began farming and living in permanent settlements," study co-author Maxime Aubert, an archaeologist and geochemist at Griffith University in Australia, said in the press release.

Researchers did caution that it's too soon to tell if the Borneo operation was an isolated example of amputation or if surgeons performed similar, contemporary procedures on the island, elsewhere in Asia or even around the world. However, surgical amputations as we know them today didn't become common practice until Joseph Lister, a British surgeon and scientist, discovered antiseptics during the late 1800s, according to Encyclopedia Britannica(opens in new tab).

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"In light of the much younger age of these prior findings, the discovery of a 31,000-year-old amputee in Borneo clearly has major implications for our understanding of the history of medicine," study lead author Tim Maloney, a research fellow of archaeology at Griffith University, said in the statement.

The discovery is the latest that hints at what the lives of ice age foragers could have been like in Indonesia, "as demonstrated from the early dates on cave art in Borneo and the adjacent island of Sulawesi," study co-author Adhi Agus Oktaviana, a doctoral student of archaeology at Griffith University based in Jakarta at the Centre for Archaeology, Language and History, said in the statement.
 

bw

Fringe Ranger
The archeologists were able to determine that the child's pronoun was "they". That's an amazing piece of detective work. They of course had the whole skeleton so they know what sex it was, but we don't want to know that nearly as much as we want to know their pronoun. Good job!
 

Melodi

Disaster Cat
It isn't always possible to get intact DNA, especially in hot, damp conditions. They can study the skeleton and see how the wound healed so they know the leg wasn't bitten off by a tiger and someone skilled in treating such injuries manages to stop the bleeding and cauterize the wound. That would leave different evidence on the bone, but sexing a child properly means having enough DNA fragments for the tests to work, and the jungles of Borneo would be one of the worse places for that sort of preservation.

I'm sure they get lucky sometimes, it all depends on the grave site and the local conditions. Sometimes you can have two people in the same grave and only get usable DNA from one of them.
 

jward

passin' thru
I saw the images, but wasn't clear on how long, if at all, he survived after.
Thank you for sharing that info/story!
 

jward

passin' thru
The archeologists were able to determine that the child's pronoun was "they". That's an amazing piece of detective work. They of course had the whole skeleton so they know what sex it was, but we don't want to know that nearly as much as we want to know their pronoun. Good job!
O you :jstr:
 

Dozdoats

On TB every waking moment
The archeologists were able to determine that the child's pronoun was "they".

Any number of ancient societies believed that humans had multiple souls, so 'they' might be appropriate ... but that would be cultural anthropology, not physical.
 

Melodi

Disaster Cat
This was a young adult, so the pelvis should tell them pretty clearly.
Not as well as we used to think, a whole lot of surprises have happened since DNA started being routinely tested whenever it can be found. A number of historic "warrior" graves turned out to be women, many had been listed as male in museums for years.

As late as the early 1990s when Nightwolf was on excavation the rule was if the person was buried with male stuff - male, female staff - female. Unless there is something really obvious like the pelvis on "Mother Sweden" from 9,000 years ago plus buried with hunting tools. But she had an estimated 20-plus pregnancies, now that will show on a skeleton.

A young person is almost impossible to tell just by looking at them unless it is a young woman buried with an infant or she's had several children (or unusually wide pelvis, hips). Now once people reach full adult maturity and women have had more babies it is usually much more obvious, but not always. Even Time Team thought the burial that turned out to be "Xena" was a male Saxon warrior, instead, she was a six-foot tall, well-built female one. She must have towered over everyone she knew in that period when most people were between 5'4" and 5'6" (smaller for women).
 

Raggedyman

Res ipsa loquitur
speaking of "pronouns" . . . damnable BCBS just sent a survey here asking us to rate our doctors. they had my internists name on the form. typically I won't fill out this stuff but I really like his medicine, he's a good friend and an excellent internist - so I dive into it - for John's sake

going thru the 8 pages became increasingly more tedious as we got into queries about "did I have enough to eat and did the food taste good and was I worried about finances and what language did I speak at home". I could reasonably allow at least SOME of that to be medically relevant - but when I got to the question:

"To which gender identity do you most identify" and its SEVEN possible answers I drew a big X through the last 5, circled MALE and drew an arrow to it . . .

by that time I'd had enough of their nonsense and tossed the whole thing in the trash.
 
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