In this study, Thirty-five for reconstructing the thumb due to post-traumatic and post-burn etiology, were performed. Methods of reconstruction included primary sutures, grafts, flaps, microsurgery and metacarpal bone lengthening by distraction.Evaluation of the results was done by, safety coverage, preservation of both form and function of the thumb, donor site (if present) morbidity, cosmetic appearance, complications, period of hospital stay and satisfaction of both the patient and the surgeon.