A big toe-thumbs up: James Byrne shows off his new left-hand digit after the bandages came off
That's when the surgeons made their unusual suggestion of using his dominant toe. They said losing a toe would only affect his balance in the short term - therefore outweighing the loss to his foot.
His consultant Umraz Khan at Frenchay Hospital in Bristol carried out the operation in September.
Now, two months after the operation, the paver from Bristol has a working 'thumb' - which he has nicknamed 'Toby'.
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