Mansfield cobbler replaces thumb that was severed in ‘freak accident’- with his big toe

Surgeons spent 10 hours in the operating theatre to replace a Mansfield cobbler's thumb that he lost in a freak accident at work - with his big toe.
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David Lee was trimming the heel of a shoe in his shop when he suddenly became tangled in the machine and, to his horror, watched his severed thumb drop onto the floor- reports the Nottingham Post.

After freeing himself from the machine, David’s first thought wasn’t about the pain –or lack of it – in his hand, but instead about how he would be able to earn a living after the accident.

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The 40-year-old said: “Straight away, I knew how bad it was and I just worried that I wouldn’t be able to fix shoes again.

David Lee has had his thumb replaced with his big toe after a freak accident (Image: University Hospitals of Derby and Burton)David Lee has had his thumb replaced with his big toe after a freak accident (Image: University Hospitals of Derby and Burton)
David Lee has had his thumb replaced with his big toe after a freak accident (Image: University Hospitals of Derby and Burton)

"I cried my eyes out when I thought about it, as I thought I was going to lose my shop.

“I was more concerned about that than my thumb because this is my passion. It all happened so fast but I felt no pain at all and straight away just turned all the machines off and actually went outside for a fag, while I waited for the ambulance.”

After initially going to King’s Mill Hospital, David was quickly referred to the Pulvertaft Hand Centre, at Royal Derby Hospital, where the idea was put to him that a new “thumb” could be created using one of his big toes.

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David added: “As soon as it was put to me that attaching my toe gave me a chance to carry on my job, I instantly said let’s do it. I’d never heard of a procedure like this before but I also knew that the Royal Derby Hospital had the best hand surgical team in the country.”

David paid a special visit to Royal Derby Hospital on January 24 to thank the Pulvertaft team and present them with a Patient Hero Award (Image: University Hospitals of Derby and Burton)David paid a special visit to Royal Derby Hospital on January 24 to thank the Pulvertaft team and present them with a Patient Hero Award (Image: University Hospitals of Derby and Burton)
David paid a special visit to Royal Derby Hospital on January 24 to thank the Pulvertaft team and present them with a Patient Hero Award (Image: University Hospitals of Derby and Burton)

Five days on from the accident, surgeons spent around 10 hours completing the complex procedure, which has been performed only a handful of times at the hospital and is only considered for patients with certain types of amputations.

Jill Arrowsmith, one of the two consultant hand surgeons who performed the operation, said: “This procedure is only offered to patients who have lost a lot of their thumb, usually down to close to the knuckle.

"Not having any of the thumb can be very disabling, especially for those who do a manual job. This type of injury could mean that these patients are not able to remain at work, so we’re delighted to be able to provide this treatment option.

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“David has worked really hard to recover after his injury and has done amazingly well. He’s the first master cobbler I’ve ever met, so it’s really nice to hear that he’s back doing what he loves to do.”

It’s now been just over a year since David’s accident on January 9 2019, with the specialist team at the Pulvertaft Hand Centre helping him undergo months of rehabilitation to increase his grip strength and get back to normal.

The cobbler has now returned to his beloved trade and admitted he was “overwhelmed with admiration” for the staff who have helped him.

He added: “Thank you feels too small to say because what the hospital has done has really meant the world to me.

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"I’m doing what I love again and the team have given me the opportunity to do that. I really appreciate them because, if not for them, I wouldn’t have been able to get to where I am today.”

David paid a special visit to Royal Derby Hospital on January 24 to thank the Pulvertaft team and present them with a Patient Hero Award.