James Byrne from Bristol severed the thumb on his left hand last December while sawing through wood.
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After an attempt to re-attach his damaged thumb failed, plastic surgeons at Frenchay Hospital transplanted his left big toe to his hand.
The 29-year-old said it was vital to have his thumb back to carry out his work as a paver and said he felt "really really lucky" that surgeons had been able to perform the operation.
Video.
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