PMC3385385_01
Preoperative view of amputated bilateral thumbs
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F1
A 25 year old male presented to our department with the traumatic amputation of both the thumbs distal to the metacarpophalangeal (MCP) joint, and at the proximal 1/3rd of the proximal phalanx while working on punch press machine [Figure 1].
Plantar view of harvested second toe
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F2
The toe was separated by ligating the pedicle and transferred to recipient site [Figure 2 and 3].
Dorsal View of harvested second toe
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F3
The toe was separated by ligating the pedicle and transferred to recipient site [Figure 2 and 3].
Intraoperative view of second toe transferred to thumb. Also seen the grafted the area to avoid wound closure with undue tension
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F4
Residual raw areas on the radial and ulnar aspect of the reconstructed thumb were grafted [Figure 4].
Good function achieved after toe transfer
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F5
Table 1, and in Figures 5-7. The patient is back to the same occupation, & has no disability or restricted flexion in terminal joint on the left sside; hence no further surgery has been carried out.
Excellent strength achieved after toe transfer(right thumb)
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F6
Table 1, and in Figures 5-7. The patient is back to the same occupation, & has no disability or restricted flexion in terminal joint on the left sside; hence no further surgery has been carried out.
Excellent strength achieved after toe transfer (left thumb)
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F7
Table 1, and in Figures 5-7. The patient is back to the same occupation, & has no disability or restricted flexion in terminal joint on the left sside; hence no further surgery has been carried out.