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6Primary amputation

Appropriate primary amputation usually results in a wound which heals satisfactorily, effectively preventing infection,...

Whenever possible, options and outcomes must be discussed with the patient and/or family at an early stage, either before amputation, or before starting out on a long and complex journey of reconstruction.
Because prostheses are generally more functional replacements for the lower than the upper limbs, additional risks may be worth considering to save a severely injured arm, particularly in well-resourced health care systems.
Appropriate primary amputation usually results in a wound which heals satisfactorily, effectively preventing infection, and early return to function: it can often be a kindness to the patient.