|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 1-35. The intramedullary pin can be removed in 2 weeks.
Great-toe transplant was performed to a three-fingered hand.
FIG. 1-38. In this instance, the distal end of the metacarpal bone is present with some fibrocartilaginous cover. The metacarpophalangeal joint is to be reconstructed using the articular surface of the base of the large-toe transplant.
This patient had a severely injured hand with amputation of the thumb through the distal metacarpal plus injuries to all other fingers.
FIG. 1-42. The functionless, unesthetic index finger and the second metacarpal were removed to increase the first web space. An intramedullary peg between the toe transplant and the remaining metacarpal was fashioned out of part of the discarded index finger.
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