The Role of Traditional Limb Salvage and Finger Replantation in the Era of Bionic Reconstruction

Replantation is generally recommended for thumb amputations, multiple-digit amputations, and single-digit amputations distal to the flexor digitorum superficialis insertion, because it offers superior functional outcomes compared with revision amputation. Replantation of distal forearm amputations is also considered beneficial, as it results in better postoperative function than prostheses and offers a high likelihood of successful return to work. Elective amputation with bionic reconstruction may be a viable alternative when hand function remains poor, particularly when combined with diminished sensibility following replantation of major upper limb amputations.