Learning objectives: After studying this article, the participant should be able to: 1. Explain the basic concept of functional limb salvage. 2. Understand the complexity of salvaging the limb when consulting the patient, especially regarding how to obtain the best possible functional outcome, whether it be from limb salvage or amputation. 3. Implement orthoplastic thinking to salvage the limb. 4. Understand the latest innovations for limb salvage.

Summary: The goal of limb salvage is to have the patient achieve the best possible function that allows daily activities (eg, walking and running) and the ability to perform tasks that require strength and dexterity. This is a complex process requiring the work of a multidisciplinary team practicing the principles of good wound care, orthoplastic thinking, and strategizing on future function. Understanding the new advances in this field of rapid change and growth will help reconstructive surgeons to make better decisions and incorporate them into daily practice, allowing for the best possible outcome.