I'm not an expert, but:
The elbow wound wasn't treated properly in the first place. They didn't have anything to disinfect it with and just hoped for the best. When gangrene set in, it was way too late for anything but amputation (gangrene is dangerous even today).
When they were doing the amputation, they had alcohol (probably strong) to disinfect the stump with. After amputating, they didn't have to carefully treat him and try to avoid damaging his arm. It was enough to disinfect the wound and cauterize it with burning wood to stop the bleeding (which I think they didn't do in the movie).
With my feet upon the ground I lose myself between the sounds
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