Agustin Acosta is a 40 year old radio journalist who sustained a nearly complete amputation of the distal forearm when a circular saw blade accidentally spun out of its housing on new year’s day. He was taken to the OR as an emergency where the arm was reattached using a steel plate and screws and bone from his pelvis as graft. The extensor tendons and the critical median nerve was also repaired. After a long course of rehabilitation, he has regained full strength in the arm and has near normal sensation. He is a good example of how much function can be regained in an exceptionally motivated patient.