|Microsurgery: Transplantation and Replantation by Harry J. Buncke, MD, et al.|
| FIG. 1-44. The normal Tight thumb is on the right side of the normal right toe. The transplanted left toe has reduced in size after being on the hand for over a year. Further tissue can be removed from the transplanted toe for esthetic reasons by taking wedges from the medial and lateral surfaces of the thumb distal phalanx. In over 70 great-toe transplants, only one patient has requested revisionary procedures because of the disproportionate size of the transplanted toe.
Great-toe transplantation was performed as part of staged reconstruction following a severe burn. (From Buncke, H.J.: Aesthetic aspects of hand surgery. Clin. Plast. Surg. 8:349, 1981.)
FIG. 1-45. The initial injury has severe contracture and frozen MP joints.
A 36-year-old patient suffered a crushing injury of the hand.
FIG. 1-50. The thumb was amputated through the base of the metacarpal, along with index and long fingers.
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