Post-traumatic microvascular reconstruction: Toronto's 500th reattachment.

The authors describe a case of a severe crush injury in a 28-year-old man, whose left hand was caught in a punch press. Several carpal bones and all structures at the wrist except the extensor tendons were destroyed. The hand was totally denervated and devascularized. This case represents the 500th reattachment performed by the University of Toronto microvascular team. The authors review the operative technique and discuss the functional results 9 months after operation followed by a rigorous program of rehabilitative therapy.