TOE TO THUMB TRANSFER

Abstract

Introduction: Thumb is the most important part of human hand both functionally and cosmetically. The reconstruction of lost
thumb is always challenging for the surgeons. Objectives: The aim of study is to evaluate the results of micro – vascular reconstruction of
thumb by toe transfer. Place and duration of study: B. Victoria hospital Bahawalpur from January 1998 to December 2008. Material and
method: Both male and female patients who presented to the orthopedic Department with traumatic amputation of thumb were included in the
study. Results: All ten thumbs survived with minor complication as for as functionally and cosmetically are assessed. Dominant hand was
involved in eight cases. Conclusions: Results of Microvascular reconstruction are much better as compared to conventional methods. This is
single stage procedure and early rehabilitation of hand is possible. Cosmetically and functionally this is far superior to conventional methods.