High velocity lower limb injuries due to the road traffic accidents will cause the loss of upper and lower limb extremities. In tertiary care centre, where orthopaedic Surgeons and plastic surgeons can work together in the centre for limb salvage. The role of the surgeons is to decide on the treatment plan to prevent further damage. In this case report we will assess the role of lower limb salvage guidelines in the treatment of lower limb and upper limb extremity injuries.