Plastic Reconstruction of the Thumb through Transplanting Separated Second Toe with Full Dorsal Toenail Flaps Exchange between the First and the Second Toes

A 32-year-old woman was hospitalized in an emergency due to pain and bleeding of the right thumb for 1.5 h induced by machine crushing. Examination results: General situations were good. The right thumb was completely amputated from the proximal basement. The distal end of the isolated finger was incomplete, suffering destructive fragmentation without replanting possibility. The diagnosis was right thumb injury and III-degree absence (Fig. 13.1).