A multidisciplinary decision for replantation is made at the receiving facility with input from the trauma surgeon overseeing the patient's care, taking into consideration the patient's other injuries, and with input from subspecialists in orthopedic, plastic, and vascular surgery regarding feasibility of replantation and likely projected outcomes. Even if replantation is deemed inadvisable, careful preservation of the amputated segment may provide tissue that can be repurposed to provide soft tissue coverage or aid in nerve reconstruction

Traumatic amputation — Traumatic amputation refers to limb loss that happens within the field at the time of the initial trauma and may be a special kind of the mangled extremity. It's distinguished from primary amputation, that is removal of the limb throughout initial operative management, and secondary amputation, that is removal of the limb following tried limb salvage.

Replantation is performed most ordinarily for traumatic higher extremity traumatic amputations.

In the lower extremity, a prosthetic device provides a decent practical outcome that, in some cases, could also be superior to it achieved with replantation [49]. Lower limb replantation could also be doable if the distal detached extremity is comparatively inviolate.

Warm anemia time ought to be restricted by wrapping the amputated piece in saline-soaked gauze or by indirect cooling (placing the piece in a very instrumentality then putting the instrumentality on ice). The extremity mustn't be exposed on to ice. Lower extremity replantation is mostly not suggested if heat anemia time is quite six to eight hours for major traumatic amputation.