Toe-to-hand transfer in a severely burned upper limb: a surgical dilemma.

Reconstruction of the burned thumb is a challenge to the plastic surgeon and the goal of the surgery is to achieve a functionally and aesthetically acceptable hand. We report a case of a patient who presented with extensive scarring of the upper limb and atrophic thumb due to severe burns and multiple surgical procedures. The patient had limited reconstructive options, and had a free toe-to-thumb transfer with successful outcome in a technically challenging situation 37 years after the injury.