This 56-year-old right-handed machinist sustained a guillotine-type amputation of his left hand using an industrial paper-cutting machine. The amputated hand was prepared and replantation performed. Subsequent procedures included flexion contracture releases of the proximal interphalangeal joints of the middle and little fingers. At 2-year follow-up examination, total active motion ranged from 124 degrees to 147 degrees with recovery of protective sensation.
(I would like to acknowledge the assistance of Dr. Mark Gonzalez in the performance of this case)