Toe-to-thumb transplantation

Microsurgical techniques have become useful in reconstructive surgery of the hand. Toe-to-thumb transplantation currently is the procedure of choice for thumb loss reconstruction. For a successful outcome, meticulous planning is imperative and presumes a thorough knowledge of the pertinent anatomy and surgical technique. The method of thumb reconstruction must be individualized and is dependent on the patient's functional needs, age, and the level of thumb amputation. Postoperatively, diligent nursing care is essential in assuring a positive outcome. Continuous communication between physicians and nurses is crucial. Astute monitoring and assessment are the core components of successful care.