PMC3860663_01
Radiography of Patient's Hand Reveals an Incompletely Amputated Thumb of the Left Hand
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Radiography demonstrated comminuted fracture of the metacarpal bone (Figure 1).
Intraoperative Photography Shows Tenomuscular Avulsion of EPL and FPL Tendons.
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Extrinsic tendons including flexor pollicis longus (FPL) and extensor pollicis longus (EPL) had been avulsed from tenomuscular junction (Figure 2).
The First Metacarpal Fixation by Steel Wire and K Wire
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First metacarpal bone was shortened and fixed with K wires (Figure 3).
Incisions Repaired for EIP to EPL Transfer
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The rerouted EIP tendon was then sutured to the EPL tendon by the Pulvertaft weave technique (Figure 4). 
Incision for FPL to FDP Transfer
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The avulsed FPL tendon was transferred to the anterior forearm under the transverse carpal ligament and was sutured side-to-side to the deep flexor tendon of the index finger (Figure 5).
Left Hand of the Patient About one Month After Tendon Transfer With Complete Extension of Thumb With Local Thenar Area Necrosis
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At the short term follow-up, the patient was able to flex and extend the thumb and grasp, opposition and pinching were satisfactory (Figures 6 and 7).
Grasping a Bottle by Patient
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At the short term follow-up, the patient was able to flex and extend the thumb and grasp, opposition and pinching were satisfactory (Figures 6 and 7).