Treating surgeons will determine the level at which to operate to amputate the remaining body part after trauma to save as much of the damaged limb or digit as possible. They may consult a prosthetist about the amputation level to ensure the best prosthetic fitting. Upper limb amputations can be made through the wrist, elbow or shoulder (joint disarticulations) or through the long bones (trans-humeral or trans-radial). For the hand, amputation can be at several different levels depending on the damage, from the distal phalanges at the fingertips to the metacarpal bones. Amputation level in the lower limbs is similarly located at the joints or long bones, with disarticulation surgery at the hip, knee or ankle and transfemoral and transtibial amputations through the thigh and shin bones respectively. A trans-femoral amputation is more commonly known as ‘Above the Knee’ (AK) and a transtibial amputation is called a ‘Below the Knee (BK) amputation. In the foot, amputation can be a disarticulation at any of the joints of the toes or in the mid- foot (trans-metatarsal, Lisfranc or Chopart).