Pyrotechnical blast injuries most often affect the hand and can result from mild skin and soft tissue damage to extensive tissue loss or amputation. The aim of reconstructive procedures is the restoration of functionality and aesthetics of the injured limb. We present a 30-year-old male patient who suffered a five-finger amputation of the right hand due to a pyrotechnical blast injury. The middle and ring fingers were amputated at the proximal interphalangeal joint level and their length was preserved using pedicled flaps from the left groin. The thumb, second and little fingers were amputated at the metacarpophalangeal joint level. The thumb was reconstructed by a second toe free transfer from the left foot. This procedure resulted in a significant improvement in the patient's overall hand functionality and, by extension, quality of life.