|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG.1-17. Appearance of the donor foot. A large portion of the dorsal medial aspect of the first metatarsal head has been removed to permit closure of the donor wound on the foot. Delay in healing over the metatarsal head is not unusual. Care should be taken to prevent pressure in this area with the postoperative dressings.
This case also involves a four-fingered hand. The photographs are of the first patient in the United States to have a successful toe transplant using microvascular techniques (1972). (From Buncke, H.J., et al.: Thumb replacement; great toe transplantation by microvascular anastomosis. Br. J. Plast. Surg. 26(3):195, 1973.)
FIG. 1-18. Loss of the thumb through the distal portion of the first metacarpal.
A woman lost her thumb through the proximal phalanx in a water skiing accident. Length was preserved by covering the amputation stump with a tube pedicle graft from the abdomen.
FIG. 1-23. The toe on the foot is considerably larger than the right thumb.
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