Reconstruction of thumb l, ll defect

Suitable for traumatic l degree defect of right thumb. Treatment of diseases: hand trauma, open hand injury Indication Suitable for traumatic l degree defect of right thumb. Preoperative preparation 1. Establish a good relationship between nurses and patients. Respect each other and trust each other. 2, adjustment support system patients often have some worries after hospitalization, such as worry about the economic burden, worry about work problems, worry about how others see their own re-creation of fingers and other caregivers should try to get the encouragement and support of family members and colleagues to receive treatment. 3. Creating a good environment for a good medical environment is important for normal people. It is more important for patients. A quiet and clean environment is conducive to calming the patient's mood. Watching TV, listening to music, walking outdoors and other activities can distract the patient's attention and reduce the patient's psychological burden. 4, the use of cognitive therapy cognitive therapy is through the interaction between the nurse and the patient through the communication to make the patient understand the meaning of the conversation related to the common sense of the patient to answer the various concerns of the patient to re-recognize it to let go of the mind Various burdens. Surgical procedure Traumatic l degree defect of the right thumb. According to the thickness and length, the same side of the thumb can be transplanted to reconstruct the thumb. Right thumb back side incision design. Lateral incision design The tongue flap is retained on the side of the big toe to prepare for repairing the stump of the toe. The skin was incised, the dorsal vein of the toe was revealed, and the proximal end was separated by a sufficient length; the lateral plantar artery and nerve were separated from the temporal side. If necessary, free to the first dorsal (bottom) artery; pick up the temporal lingual flap, including the temporal sacral artery and nerve. The toe is removed from the interphalangeal joint. Try to cut the blood vessels and nerve pedicles at a higher position. The subcutaneous fat of the toe and the temporal side of the toe is properly trimmed, and the bone and cartilage surface of the base of the phalanx is enlarged to reduce the toe. The thumb stump is an annular incision, which separates the dorsal vein, the ulnar side finger or the main artery of the thumb and the nerve, and is freed to the proximal end for a sufficient length. For the stump of the thumb, the bone was trimmed and the articular cartilage surface was removed. The wound was repaired with the preserved temporal lingual flap. Move the free thumb to the prepared receiving area. The distal phalanx and thumb phalanx were fixed through the Kirschner wire; the toe (finger) artery, vein and nerve were kissed under the microscope with a 11-0 non-invasive needle. Relax the tourniquet and rebuild the blood circulation in the terminal of the toe. One year after surgery, the shape of the thumb was recreated. The interphalangeal joint has a good flexion function. Another case of bilateral thumb ll degree defect, bilateral index finger from the middle phalanx defect. Due to the thinner thumb, the bilateral second toe was used to reconstruct the bilateral thumb. Due to the satisfactory appearance and function of the reconstructed thumb, the patient requested re-creation of the defect indication after half a year. The bilateral third toe was used to reconstruct the bilateral index finger. The surgical procedure is basically the same as the previous thumb reconstruction. Rebuilding the thumb is good for the fingers. Re-creation means straightening. Reproduction refers to the flexion function.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.