In cases of multiple finger amputation, replantation of all amputated fingers may not be possible depending on the condition of the amputated fingers. Therefore, other reconstructive procedures should be considered, such as ectopic replantation, which is an important treatment option, especially when the thumb is one of the amputated fingers. We report the case of a 22-year-old man with complete amputation of his left thumb and index finger. The thumb amputation level was distal of the carpometacarpal joint and the amputated thumb was crushed too severely to perform replantation. We ectopically replanted the amputated index finger to the thumb stump at the anatomical position because the amputated index finger was less damaged. Good results were obtained in terms of both function and appearance.
