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Plastic surgeons have a comprehensive reconstructive armamentarium, and it is our responsibility to think
expansively and innovatively about these problems to optimize form and function while limiting donor-
site morbidity. Additionally, our knowledge of long-term functional outcomes, patient satisfaction and
quality of life are fundamental to our specialty and daily work. These outcomes are particularly important
to the care of patients affected by severe extremity trauma. As has been previously described, factors
most important to patients affected by severe lower extremity injuries include their physical capacity
[8]
and functional status, pain level, and the ability to return to work, among other factors . As this article
and other similar collective experiences have suggested, reconstructive plastic surgeons remain a central
participant in the care of complex trauma patients [9,10] .

DECLARATIONS
Authors’ contributions
Writing of the manuscript: Aycart MA
Critically revised the manuscript: Talbot SG

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declare that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2019.

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