ABSTRACT
Thumb is the most important part of human hand both functionally and cosmetically. The reconstruction of lost thumb is always challenging for the surgeons. The aim of study is to evaluate the results of micro - vascular reconstruction of thumb by toe transfer. B. Victoria hospital Bahawalpur from January 1998 to December 2008. Both male and female patients who presented to the orthopedic Department with traumatic amputation of thumb were included in the study. All ten thumbs survived with minor complication as for as functionally and cosmetically are assessed. Dominant hand was involved in eight cases. Results of Microvascular reconstruction are much better as compared to conventional methods. This is single stage procedure and early rehabilitation of hand is possible. Cosmetically and functionally this is far superior to conventional methods.