Reports of clinical features and clinical results of great toe replantation are rare in Japan. Herein, we report replantation for incomplete amputation of great toe in six patients between 2010 and 2020. The patients were five males and one female ranging in age from 27 to 79 years and mean age was 52 years. Five toes were crushed by something heavy at work and one was crushed in a traffic accident. Five of six were accompanied by lateral toe injuries or degloving injuries of dorsal foot. Three cases had arterial anastomosis with vein graft, and two cases had vein anastomosis. In one case, the toe was attached only with flexor hallucis longus tendon and we performed stump plasty because revascularization of the medial plantar digital artery failed. In the five successful cases, the proximal first dorsal metatarsal artery was used for arterial anastomosis. In conclusion, the incomplete amputation of great toe often accompanied lateral toe injuries, but the survival rate was high. Therefore, replantation of incomplete amputation of the great toe should be considered.
