title: Microsurgical two-stage reconstruction of the thumb. Case report.
abstract: A 40-year-old patient presented with traumatic amputation of the thumb and index finger. The second metacarpal bone fragment was transposed to lengthen the first metacarpal bone. A free flap from the lateral forearm was used to reconstruct the thenar region. Later, the second free toe-to-hand transfer was done from which he made a good recovery, achieving active flexion and extension in all joints.
authors.affiliation: Department of Microsurgery, Vilnius University Emergency Hospital, Lithuania.
authors.forename: S
authors.initials: S
authors.lastname: Spokevicius
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D016025:Bone Transplantation; D006801:Humans; D008297:Male; D008663:Metacarpus / Q000601:surgery; D008866:Microsurgery; D013524:Surgical Flaps / Q000379:methods*; D013933:Thumb / Q000293:injuries*; D014034:Toes / Q000637:transplantation*