We can and do. The tricky part is connecting ALL the blood vessels and ALL the nerves, joints, tendons etc. Replantation surgeries are practiced, but they only happen within a certain time window (like hours) and usually only on some limbs where there’s a chance of it actually working like hands/fingers). It is also only used for some types of injuries (where there’s a clean sharp cut) because if the tissues have been severely damaged there’s less chance of reattachment. Few injuries are however nice and clean…
You totally can. The hard part is that if you want it fully functional you also have to reattach all the blood vessels and nerve endings together, they can’t find each other if they’re just ‘loose’ in the wounded area and you just sewed the skin back together. But people can and do get appendages reattached.
Here is an old news story about a guy who had both arms ripped off in a farming accident in 1992, was able to call 911 with a pencil in his mouth and get them reattached. But he had to undergo many surgeries, still has aches and pains, can’t fully bend them properly or use all his fingers perfectly, stuff like that. Still way better than having no arms though!
https://www.sj-r.com/story/news/2012/02/20/farm-accident-victim-john-thompson/63280142007/
Back in 1983-84 a guy in my high school got his thumb cut off… his buddy, with him at the time, did some quick thinking and wrapped the severed thumb in ice and got him quickly to a hospital…. Surgeons were able to reattach the thumb and it was like 75-80% functional. The guy liked to show it off at parties and stuff
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