i'm guessing that drop bar brake levers aren't that easy to use without fingers, either. edit: just read where he enumerated the missing fingers. I guess index-finger-only braking is adequate with good brakes.

do they make 10 speed barcon shifters ? ahhh, i see DuraAce 2/3 x 10 barcons, but I'm not sure duraace front shifters can be used with ultegra FD's... (we're out of my comfort zone here).