case_images: PMC3385385_01
case_images: Preoperative view of amputated bilateral thumbs
case_images: IJPS-45-154-g001.jpg
case_images: PMC3385385_01_IJPS-45-154-g001.jpg
case_images: F1
case_images: 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].
case_images: Plantar view of harvested second toe
case_images: IJPS-45-154-g002.jpg
case_images: PMC3385385_01_IJPS-45-154-g002.jpg
case_images: F2
case_images: The toe was separated by ligating the pedicle and transferred to recipient site [Figure 2 and 3].
case_images: Dorsal View of harvested second toe
case_images: IJPS-45-154-g003.jpg
case_images: PMC3385385_01_IJPS-45-154-g003.jpg
case_images: F3
case_images: The toe was separated by ligating the pedicle and transferred to recipient site [Figure 2 and 3].
case_images: Intraoperative view of second toe transferred to thumb. Also seen the grafted the area to avoid wound closure with undue tension
case_images: IJPS-45-154-g004.jpg
case_images: PMC3385385_01_IJPS-45-154-g004.jpg
case_images: F4
case_images: Residual raw areas on the radial and ulnar aspect of the reconstructed thumb were grafted [Figure 4].
case_images: Good function achieved after toe transfer
case_images: IJPS-45-154-g006.jpg
case_images: PMC3385385_01_IJPS-45-154-g006.jpg
case_images: F5
case_images: 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.
case_images: Excellent strength achieved after toe transfer(right thumb)
case_images: IJPS-45-154-g007.jpg
case_images: PMC3385385_01_IJPS-45-154-g007.jpg
case_images: F6
case_images: 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.
case_images: Excellent strength achieved after toe transfer (left thumb)
case_images: IJPS-45-154-g008.jpg
case_images: PMC3385385_01_IJPS-45-154-g008.jpg
case_images: F7
case_images: 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.