FIG. 3-106

FIG. 3-107. Dorsal view. The patient is an avid baseball player.

CASE 20

This case involved replacement of both thumbs.

FIG. 3-108. An oil field worker lost both thumbs when they were sheared off by the sharp edge of a heavy pipe, the right thumb through the proximal phalanx.

FIG. 3-109. Left thumb through head of metacarpal. Great toe ready for implantation.

FIG. 3-110. View of both reconstructed thumbs.

FIG. 3-111. Extension of right "second toe" thumb.

FIG. 3-112. Extension of left "great toe" thumb.

FIG. 3-113. Flexion of right thumb.

FIG. 3-114. Flexion of left thumb.

FIG. 3-115. Pinch of right thumb. The patient returned to the oil fields and guitar playing.

FIG. 3-116. Pinch of left thumb.

References

1. Yang, D.Y.: Thumb reconstruction by free second toe transplantation. Chin. J. Surg. 19:13, 1977.

2. Lister, G.D., Kalisman, M., and Tsai, T.M.: Reconstruction of the hand with free microvascular toe-to-hand transfer: Experience with 54 toe transfers. Plast. Reconstr. Surg. 71:372, 1983.

3. Buncke, H.J.: Partial and total finger reconstruction by toe transplantation. Transactions of 4th International Congress of Plastic and Reconstructive Surgery, Paris, Masson, p. 69, 1975.

4. Buncke, H.J.: Digital reconstruction by second toe transplantation. In Reconstructive Plastic Surgery, Edited by Converse, Third edition, J.G. McCarthy (ed)., Philadelphia, W.B. Saunders, 1989.

5. Buncke, H.J., and Harris, G.: Toe-to-hand transplantation in children. In Pediatric Plastic Surgery, D. Serafin and N. Georgiade (eds)., Vol. 2., St. Louis, V. Mosby, 1984.

6. May, J.W., Smith, R.I., and Peimer, C.A.: Toe-to-hand free tissue transfer

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