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Finger method without skin grafting
This child is from Yichang, Hubei. The middle finger and ring finger of his left hand are together. His syndactyly is very distinctive. Why do you say that? Because if we don't think about his hand carefully, or look at the X-ray, his left hand looks like four fingers. Although one finger is thick, its function is ok, so what should I do in this situation?

My mother went everywhere for medical advice, and the advice she got was either not to do it or to take off the bill.

There are many types of syndactyly, for example, this child is a very special syndactyly, which belongs to complex complete syndactyly. Some complicated synonyms mean that the ends of fingers are a little fused, so it is relatively simple for us to refer to each other. But the child refers to the fact that from the proximal section, the middle section and the last section, all of them are fused together, almost invisible, and fused into a big bone. In this case, the operation will be more troublesome.

My mother asked a lot of places, and she was advised not to have surgery or to remove a column, which was equivalent to volume reduction surgery. If a column is removed, the postoperative appearance is ok. But it's hard for mother to accept. She still has a glimmer of hope, and wants to separate her fingers so that the child can have five fingers.

The boy successfully "changed" five fingers from four fingers, but encountered an epidemic when preparing for the second-stage operation.

After my mother found us, she made an evaluation and thought that we could divide fingers surgically, because we had done some similar cases before, and the postoperative effect was not bad. Just for the general syndactyly, we basically only need to do one operation during the operation, but in this child's case, we must consider a second operation.

Because this child's bone is completely fused, we separate it, and the structure of ligament and joint capsule on the opposite edge is completely absent, so it is necessary to rebuild the structure of ligament and joint capsule. At that time, I planned to have a second-stage operation to solve the problem of ligaments and joint capsules, but when I was preparing for the second-stage operation, I encountered an epidemic and could not carry out the second-stage operation as scheduled.

The appearance of the child's fingers has changed, and the second-stage operation has been corrected, and the effect is good!

When the child came for the second-stage operation, it was almost two years since the first-stage operation, and the interval was longer. Because the joint capsule and collateral ligament are unstable, the shape of the child's fingers has changed. In the second operation, we corrected these changes. After the operation, the shape and force line of the child's fingers, including joint mobility, are all ok. After pulling out the nail, the child has already started functional exercise.

In the face of particularly complicated hand deformities, especially syndactyly, we can actually do some work, but in the end, in order to achieve the ideal effect, in addition to the efforts of doctors, we also need the cooperation of parents. This is the case with this child. Despite the interference of the epidemic, the child's mother insisted on helping the child to do functional exercise at home. Once the situation is stable, she will take the child to the second-stage operation immediately. Although the process was a bit bumpy, the final result was satisfactory.