Current Concepts in Lower Extremity Amputation: A Primer for Plastic Surgeons

Philip J. Hanwright, Visakha Suresh, Jaimie T. Shores*, Jason M. Souza, Sami H. Tuffaha

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Learning Objectives: After studying this article, the participant should be able to: 1. Understand the goals of lower extremity reconstruction and identify clinical scenarios favoring amputation. 2. Understand lower extremity amputation physiology and biomechanics. 3. Review soft-Tissue considerations to achieve durable coverage. 4. Appreciate the evolving management of transected nerves. 5. Highlight emerging applications of osseointegration and strategies to improve myoelectric prosthetic control. Summary: Plastic surgeons are well versed in lower extremity reconstruction for traumatic, oncologic, and ischemic causes. Limb amputation is an increasingly sophisticated component of the reconstructive algorithm and is indicated when the residual limb is predicted to be more functional than a salvaged limb. Although plastic surgeons have traditionally focused on limb salvage, they play an increasingly vital role in optimizing outcomes from amputation. This warrants a review of core concepts and an update on emerging reconstructive techniques in amputee care.

Original languageEnglish
Pages (from-to)724E-736E
JournalPlastic and Reconstructive Surgery
Issue number4
StatePublished - 1 Oct 2023
Externally publishedYes


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