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Orthoplastic Surgery: A Practical Approach to Limb Salvage.

Janos Barrera¹, Jamie Levine, L Scott Levin

¹From the Division of Hand Surgery, Department of Orthopedic Surgery, NYU Langone Health, New York, NY (Barrera and Hacquebord), the Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, New York, NY (Barrera, Levine, and Hacquebord), and the Department of Orthopedic Surgery (Levin), and the Department of Surgery (Division of Plastic Surgery; Levin), University of Pennsylvania, Philadelphia, PA.

The Journal of the American Academy of Orthopaedic Surgeons

|June 23, 2026

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Orthoplastic surgery, combining orthopaedic and plastic surgery, effectively treats complex extremity wounds to prevent amputation. Implementing Orthoplastic protocols improves outcomes, reduces infection risk, and lowers care costs for limb salvage.

Area of Science:

Orthoplastic surgery
Limb salvage
Trauma surgery

Background:

Complex extremity wounds can lead to major limb amputation and long-term morbidity.
Effective treatment requires integrated orthopaedic and plastic surgical approaches.

Purpose of the Study:

To present a protocol-driven guide for establishing Orthoplastic programs.
To optimize limb salvage outcomes in diverse practice settings.

Main Methods:

Simultaneous application of orthopaedic and plastic surgical principles.
Early stakeholder evaluation and collaborative communication between surgical teams.
Meticulous débridement and careful fixation selection upon patient presentation.

Main Results:

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Quicker skeletal stabilization and soft tissue coverage.
Reduced risk of infection.
Improved functional outcomes and decreased healthcare costs.

Conclusions:

Orthoplastic protocols enhance limb salvage by improving efficiency and patient outcomes.
Establishing dedicated Orthoplastic programs is crucial for managing complex extremity injuries.