Amputation is not always necessary, but depends on the severity of the accompanying muscle, nerve and bone damage. If there is severe muscle damage, blood vessel damage, and comminuted bone fractures, the limb may lose nutrition and amputation may be considered. If the uncinate injury is accompanied by relatively good soft muscle tissue, the bone is not severely comminuted, or the blood vessels can be sutured and minimally invasive connection, then we can consider conservative treatment. An external fixator can be used to immobilize the comminuted fracture, while the injured muscle is cleared and sutured. Minimally invasive connections can be made to the injured blood vessels and nerves, and the injured limb will then have blood flow. Dermatomal injuries can be closed in situ with skin sutures, or with reduced tension sutures. They can also be treated with in situ skin grafts, so decortication injuries do not always require amputation.