Abstract
Two patients with a thumb defect had reconstructions with great toe transfer. One had the entire great toe transferred and the other a trimed great toe transfer.Both great toes survived completely. Follow up periods were 8 months and one year vespectively.Regarding the results, patients were satisfied with their cosmesis, especially its shape and nail appearance. In addition, the functional results were satisfactory. The reconstructed IP joints were mobile and stable, and made a powerful pinch and grasp possible.In spite of losing all of their great toe, the patients didn't have any severe difficulty in walking, although they had a slight disturbance when making a quick turn.At present, in Japan, great toe wrap around flap or second toe transfer is preferably selected for thumb reconstruction. However, great toe transfer could be a suitable choice for patients with thumb losses at the level of the metacarpal bones.
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