Over the recent past few years, there is a huge innovation in plastic surgery\nand orthopedic surgery through implantation of new techniques, which\nenabled a great level of success in hand salvage. Conditions such as trauma,\ntumor, sepsis, or vascular disease, may necessitate hand salvage. The most\nfrequent argument among surgeon from different subspecialties (orthopedics,\nplastics, trauma, and vascular surgery) are characterized by in what way each\none can do his own part of the salvage operation, be it bony fixation, revascularization,\nor soft-tissue coverage, but none of them is sure whether it should\nbe endeavored. What is necessary in such clinical situations is an interdisciplinary\nteam attitude led by individual or groups of clinicians who are conversant\nnot only with their identifiable subspecialized skills but also with those of\ntheir coworkers and the consequences accompanying the joined efforts at\nhand salvage. The perception of orthoplastic surgery is based on such an indication,\nwhere the integrated skills and techniques of the orthopedic surgeon\nand reconstructive microsurgeon are performed in recital to direct efforts\nconcerning hand salvage or choose against it when it is not designated. The\ncurrent article reviews the roles of orthopedic and plastic surgery and how this\nteam can deal with the existing techniques to improve outcomes in hand salvage\nsurgery.
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