Replantation surgery has progressed in 20 years from a laboratory curiosity to a common and useful clinical procedure. All patients with partial or complete amputations should be considered for replantation of the part. However, only a number of these patients are appropriate for replantation. The indications for replantation should not be based only on the potential viability of the limb, but, more important, should be based on the potential function of the replanted part. The function is related to the level of the amputation, to the mechanism of the amputation, and to the age and motivation of the patient. Replantation surgery requires technical competence and clinical acumen. Surgeons performing replantations should maintain their microvascular technique in laboratory work and elective microsurgical procedures. Because the operations are quite arduous and require teams of surgeons relieving each other and because assessment of the appropriateness of replantation requires considerable clinical experience, replantation operations are best performed by teams in large medical centers.
再植手术在20年间已从实验室里的新奇事物发展成为一种常见且实用的临床手术。所有部分或完全离断的患者都应考虑进行断肢再植。然而，这些患者中只有一部分适合再植。再植的指征不应仅基于肢体的潜在存活能力，更重要的是，应基于再植部位的潜在功能。功能与截肢平面、截肢机制以及患者的年龄和意愿有关。再植手术需要技术能力和临床敏锐度。进行再植手术的外科医生应在实验室工作和择期显微外科手术中保持其微血管技术。由于手术相当艰巨，需要外科医生团队轮流操作，并且由于评估再植的适宜性需要相当多的临床经验，因此再植手术最好由大型医疗中心的团队来进行。
