Successful replantation of a forefoot

This is a report of replantation of a completely severed forefoot which was divided through the distal tarsus by a samurai sword cut. Primary reconstruction of bone, vessels, nerve and skin was carried out 2 hours following amputation. Neither the long extensor nor the long flexor tendons were repaired. Three years following replantation the patient had an excellent result. His foot appeared normal and there was no evident atrophy of the soft tissue of the foot. No claw toe deformity developed. Protective sensation and temperature sense returned and the 2 point discrimination on plantar surface of the toe was 15 mm. The patient can walk and run with a normal gait.