We performed two replantations of the great toe in children less than 4 years of age. Both cases were successful, and there was no complaint of pain or disturbance in gait, postoperatively. Good results seemed to be based on mobility of the metatarsophalangeal joint and on sensation in the replanted toe. In our opinion, all traumatic amputations of the great toe in children should be replanted, if the conditions of the foot and amputated toe allow vascular and neural reattachment.
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