In a groundbreaking medical achievement, a team of surgeons in Mumbai successfully created a new thumb from a patient’s toe, restoring hand functionality and transforming the patient’s quality of life. The rare and complex procedure highlights the growing potential of microsurgical reconstruction in India.
A Life-Changing Surgery
The 32-year-old patient had lost his thumb in a workplace accident. Without a thumb, basic tasks such as holding objects, writing, and eating became nearly impossible. After evaluating multiple options, doctors decided to perform a toe-to-thumb transfer, a highly intricate surgery that involves reattaching skin, bone, nerves, and blood vessels from the toe to the hand.
The surgery, which lasted over 12 hours, was performed by a multidisciplinary team of plastic and orthopedic surgeons at a leading hospital.
How the Procedure Works
In the procedure, the big toe (or in some cases, the second toe) is carefully removed and reshaped to resemble a thumb. Surgeons then reconnect blood vessels and nerves under a microscope to ensure full functionality and sensation. Over time, patients can regain up to 80% of thumb mobility and strength.
Dr. Meera Sharma, lead plastic surgeon, said:
“The thumb contributes to nearly 40% of hand function. Reconstructing it using the patient’s own tissue allows for a natural look and movement. Our patient has already started regaining motion and sensation.”
Medical Significance
The toe-to-thumb reconstruction technique, though not new, is rarely performed due to its technical complexity. It demonstrates the advances in microsurgery, nerve repair, and post-operative rehabilitation now available in Indian hospitals.
Doctors emphasized that while the patient may walk with a slight adjustment due to the missing toe, the functional gain in the hand far outweighs the loss in the foot.
A Testament to Modern Medicine
The successful surgery has been hailed as a remarkable example of innovation and precision, reaffirming India’s growing expertise in reconstructive and plastic surgery. The patient is expected to make a full recovery within six months, regaining both grip and dexterity


 
                                    