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Background: the thumb plays an important role in hand function. Reconstruction of thumb iss done using the great toe. The second toe is used when the great toe is not acceptable as a donor site, for instance, when the level of amputation is through the proximal third of the first metacarpal and a significant length of metatarsal bone is necessary to provide adequate length in the reconstructed thumb. Case: reported one case, 24 year-old male, who came to Emergency Room of Dr. Soetomo Hospital with the absent of the right thumb after electrical injury. He had already done debridement and local flap on the left wrist and skin graft on the right wrist. Flap were viable and warm.Five days after surgery, Agus Roy R.H. Hamid Jurnal Bedah Nasional 23 graft take was 100%, thus he could be discharged. Three months after first surgery, he was admitted to outpatient clinic for evaluation. The thumb was good but the movement was limited. He was planned to undergo reconstruction of the thumb with second toe transfer. The new reconstructed thumba was viable, mobile, but with limited flexion and extension movement. Conclusion: reconstructive options to restore thumb function include a second toe-to-thumb transfer or pollicization of the index finger. Toe to hand transfer for thumb reconstruction can provide excellent end-result and a high degree of patient satisfaction.

Transfer Jari Kedua Jari Kaki untuk Rekonstruksi Jari Pertama Jari Tangan Setelah Trauma Listrik (Laporan Kasus)