(v) Upper limb amputations: Where, when and how to replant

This review looks at the history of replantation in the upper limb, and how both survival of the amputated part and functional outcomes have improved with increasing microsurgical experience. We discuss the relevant considerations when part of an upper limb is amputated, and the indications and contraindications to microsurgical replantation. The practicalities of managing this injury that threatens limb, and sometimes life, are highlighted, together with key points from our suggested operative management plan. Finally, we review the current literature with regard to prognosis and functional outcomes that can be achieved when replanting an amputated part of an upper Limb. (c) 2008 Elsevier Ltd. All rights reserved.