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Thumb forms 40% of hand function. Anil came to us with with severe injury to right thumb. It was badly crushed, We tried reattaching the thumb. However due to severe injury to blood vessels it was not possible. Anil didn't want amputation as he is a worker and will not be able to work without thumb. We salvages the bones and made a new thumb for him. It was a difficult journey for Anil. After surgery his hand was in plaster for a month. He did exercises and physiotherapy for months and after 6 months he regained most of his hand functions. He is back on his job and happy. He is planned for improvement of shape of the thumb now.