The toes are transplanted to the hand, and the doctor "moved the flowers and the wood" to create a "thumb" for a 27 -year -old guy

Wuhan Evening News July 26 (Correspondent Liu Yu) The guy's left -handed thumb was accidentally cut off by the chainsaw. The orthopedic experts at the People's Hospital of Wuhan University implemented the "Qiankun Dajie" to transplant the patient's right foot "Move the flower and pick up the wood" to the left of the thumb of the left hand and successfully survive. When I was discharged from the hospital recently, I watched the "new thumb" that I was gradually moving. The patient was surprised and grateful.

In early July, when the post -90s guy Xiaocheng was at work, he accidentally cut the thumb of his left thumb from the distance between the remote fingers. After the local hospital failed, the little finger of the young man failed to keep and gangrene. This is almost equal to the loss of work for the small Cheng Cheng of "hand".

Half a month ago, Xiao Cheng's mother and son came to the Eastern Hospital of Wuhan University (Hubei Provincial People's Hospital) Eastern Hospital Bone II (trauma and micro -surgical) for help. After the consultation, Professor Ren Yijun considers the patient's youth, and it is recommended to use toe transplants to make a "new thumb". At the beginning, Xiaocheng had doubts about his family, and did not believe that his toes could replace the thumb function. After careful communication, Xiaocheng, who had originally intended to give up, ignited hope again.

After careful planning and design before surgery, a micro -surgical doctoral team composed of Wang Mengwei, Wang Yankai, Cao Jiarui, etc. on July 14th began this clever thumb reconstruction with the cooperation of the anesthesiology department. First of all, the doctor conducted a debridement treatment of the hands of the gangrene, eliminating the old finger that had been necrotic. After that, they moved to the foot to make a detailed design of the area of ​​the flap and the isolated blood vessels, dissecting the tendon, small blood vessels and nerves that needed to be separated, and successfully swim away from the second toe of the right foot.

in surgery.

Broken limbs and re -implantation surgery must not only restore the basic appearance, but also restore feelings and functions as much as possible. Under the microscope, the doctor flexibly control a surgical line that is only 1/5 of the hair, which combines the defective blood vessels, nerves, and tendons, and shaped the thumb of the second toe. After more than 4 hours of hard work, Xiaocheng's left thumb's thumbs "grow" again, and the "new thumb" became rosy again after restoring the blood supply, which means that the transplantation surgery was successful.

Under the careful care of the medical care after surgery, Xiao Cheng's thumb was recovered well, and the temperature, color, and capillaries reactions of the new thumb were normal. He is very satisfied with the appearance of the new thumb, and his finger function is recovering every day. "If it wasn't for the medical staff, I really don't know how to face the future life."

Why do you need to transplant your toes to make up for your thumb? Professor Ren Yijun explained that the human thumb is also called the king of fingers, and its function accounts for more than 50%of the hand function; without the thumb, important actions such as grasping, holding, pinching, etc. cannot be completed. The lack of thumb has a great impact on life. If the toes that are relatively less important through the transplantation function, a real finger of "flesh and blood" is created, which is of great significance to the patient's appearance and function of the patient to restore the hand and restore the relatively complete work and living ability.

The vascular lumen of the fingers is very narrow, and the technical requirements for micro -surgicals of the surgeon are very strict. Each tiny details determine the success of the surgery, just like "walking the wire" under the microscope. "Blood vessels should be protected by blood vessels, and fingers should survive; nerves and tendons must keep their function, so that their fingers are not stiff, and they can restore their functions as much as possible." First, to create a finger with the same function and appearance as the original thumb, and the other is The function and appearance of the supply area. Professor Ren Yijun said that after the patient's last quarter of the thumb failed, he originally used foot -bearing armor to repair a better appearance. However, the patient considers the toe to affect the appearance of the foot and decided to use the second toe to make the thumb. The first phase of the surgeon was plastic on the toe skin flap, which greatly restored the appearance of the thumb.

However, Ren Yijun also emphasized that the transplantation surgery was completed halfway, and the patient's later rehabilitation training was very important. On the one hand, exercise rehabilitation training, including finger activity, flexion and extension, and obtaining items; on the other hand, it feels rehabilitation. After the toe transplants to the thumb, there is no neuropathic function. The brain also needs to re -identify and direct the thumb to restore the sensory function.

[Edit: Yu Lina]

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