Abstract

Limb-threatening upper and lower extremity traumas are life-changing events that are frequently treated with either replantation or amputation. Given the severity of impact on a patient's life, establishing proper shared decision-making is essential when communicating with patients the options of amputation versus limb salvage. Despite the widespread prevalence of shared decision-making in healthcare, it remains the exception, rather than the rule in limb-threatening traumas. This paper therefore seeks to describe existing shared decision-making frameworks in the hopes of improving utilization of such models in limb salvage cases. • Limb-threatening traumas are significant life-altering events that require buy-in and understanding from affected patients. • To promote patient-centric involvement in treatment decisions, shared decision-making models are often used in clinical care. • Shared decision-making in limb salvage remains underutilized but has the potential to improve patient-reported outcomes.

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