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Finger reconstruction refers to the 1:1 restoration of the degree of missing fingers through 3D printing technology, and then accurately taken from different parts of the patient's body according to the 3D model, and finally transplanted to the hand, so as to restore the shape, function and feeling of the finger.
The commonly used finger reconstruction programs in Shunde Peace Surgery Hospital are:
1. Iliac bone grafting + nail flap: take a part of the bone and nail flap from the iliac bone and big toe respectively, and then assemble the two into the shape of a finger and transplant it to the finger, keeping the patient's five toes.
2. Second toe joint + iliac + nail flap: take the middle joint of the second toe, the iliac bone, and the nail flap of the big toe, combine them into a finger shape and transplant them, after the second toe has no joint, and the first toe has no nail.
If you want to know more about 3D holomorphic finger reconstruction, we recommend consulting Shunde Peace Surgery Hospital. Shunde Peace Surgery Hospital has been focusing on the research of hand surgery, and has rich clinical experience in finger replantation, finger reconstruction, and various complex hand trauma.
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Which finger is your sister missing? If it's a thumb, then you can use the second toe of your sister's own foot instead of the thumb, and if it's not the thumb but the other finger, there's no way to replace it with a real finger!
The current medicine has not developed to transplant your sister with other people's fingers, and the transplantation of limbs can only be done with your own, and other people's will cause severe rejection and necrosis of the transplanted limbs! It's not the same as a kidney transplant!
According to the function of the prosthesis, of course, it is much worse than the function of the real hand, but the main thing is that the appearance is better!
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According to what you said, Ann has a real finger, so what does this finger have to come from? The donor itself is not easy to find, and even if it is found, it depends on whether it can survive after the transplant.
Now many hospitals have carried out finger replantation, like our hospital, this situation has also been encountered, but because he is a finger, so he cut one of his toes, the feeling is worse, and the cost is also a lot.
It is recommended that you check with a hospital that is capable of performing this procedure.
After all, there are regional differences.
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There is no such surgery in Japan, and it is said that this kind of surgery is performed abroad.
Due to the unsatisfactory postoperative operation, it was later cut off.
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No, no! You should still ask the hospital.
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Prevention of bacterial infection, connection of all nerves, treatment of wounds, no way to fix the tissue, some difficulty in sewing the skin, preservation technique.
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The difficulty of finger replantation is mainly vascular anastomosis, which is also difficult due to the thin blood vessels of the fingers. In general, patients with mild injuries have a higher survival rate of replantation of severed fingers; If the severity of the disease is severe, such as severe crush injury, the survival rate of replantation is not optimistic; The key to the success of finger replantation lies in whether the blood vessels can be connected.
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The difficulty of finger replantation is related to the degree of finger injury, which is divided into the following according to the cause of injury: 1. Cutting injury, such as chainsaws and blades, this kind of sharp cutting injury, the survival probability of replantation is relatively high; 2. Blunt crush injury, like lathe crush injury, is relatively difficult; 3. Lacerations, such as high-speed rotating belts, fingers are pulled into and broken, at this time, the blood vessels, nerves, and tendons are pulled out, and they are also contaminated, and it is more difficult to successfully replant the severed fingers; 4. Composite tissue injury, such as high temperature and thermal explosion injury, resulting in complete destruction of the finger, in this case, there is no way to do replantation; 5. Complex injuries, such as the injury is very complex, and the environment for replantation of the proximal end of the severed finger is very poor, and there is no way to replant in situ.
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General internal fixation, is your x-ray recent or postoperative? It's what time the filming time is.
If there is damage to the blood vessels and nerves of the fingers at that time, it is normal to feel that the fingers are still a little swollen and the fingertips are numb, but because it is not your specific surgeon, I can't say well.
Immobilization is required after finger replantation, I hope you don't move too early, but it is only two sessions of activity far away, and it is recommended that you go to the hospital for regular check-ups.
The steel needle is generally removed in four to six weeks, along with the plaster. After removal, perform functional exercises, try to make your fingers move flexibly, or the surgery will be done in vain. and the sins were in vain.
After exercising, the swelling will naturally decrease, as long as the swelling can reduce on its own after resting, it is normal in the early stage.
I am a hand surgeon with advanced orthopaedic training.
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The swelling is basically after the steel needle is extracted, the finger will get better after the exercise, early exercise is necessary, but to prevent the tendon from rupturing again, after three weeks the plaster plate is removed, the large joint of the left hand and other fingers will be exercised, the exercise of the little finger still needs to be pulled out after the steel needle is extracted, if the normal growth of the finger bone is healed for about a month, pay attention to the re-examination of the X-ray. There are still no special taboos about diet.
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After 14 days of stitch removal, you can start exercising, and the steel needle is generally pulled out 6 weeks after surgery, so there is no need to avoid it. It's been 21 days now, and it's time to step up your activities.
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Analysis: Yes.
Limb reconstruction refers to the loss of a finger and the transplantation of a finger with a less functionally important function to a functionally important place because of its important function. This is to compensate for the function of missing fingers. It's the same kind all the time, and it's not really possible to get a finger from somewhere else.
Suggestions: This kind of technology is relatively high and needs to be connected to blood vessels. Generally, you have to go to a big hospital to do it.
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Finger. The recycling technique is made of metal.
Prostheses. or autologous.
Skeleton. Replace the metacarpal bones, radius, of the reconstructed hand.
and ulna, respectively.
5cm and 6cm.
Forearm. Extra.
Soft tissue. The flap provides a good
**。covered, forming a new palm. The fingers are transplanted by the toe or (and) the hallux.
Leather. flap to recreate. When donating toes with both feet, take the second toe with one foot and the second or (and) third toe with the other foot. When a one-legged donor toe, from.
Ipsilateral. The foot takes the hallux skin flap and its adjacent second or (and) third toe, which is the whole finger.
Lack. It provides a new method of reengineering. Experts from Changsha Nianlun Orthopedic Hospital said that according to the defective parts of the thumb and other fingers,
Patient. Occupations, requirements and.
Physician. The technical ability to choose the method of thumb defect reconstruction. 1.Selection of surgical methods for thumb defect reconstruction: (1) I degree defect: this kind of defect has less loss of function, but affects the aesthetics, and the hallux part (inclusive) can be used for those with higher aesthetic requirements.
Toenail. Transplant reconstruction. (2) Degree defect: distal hallux graft reconstruction. (3) Degree defect: second toe transplantation reconstruction or thumb nail.
Flap. Transplantation and reconstruction. (4) Degree defect: second toe transplant reconstruction. Palm.
Bone. Articular surfaces.
If the second toe is intact, then the second toe is severed from the metatarsophalangeal joint (with the guanzhao sac) If the articular surface of the metacarpal head is incomplete, then the entire metatarsophalangeal joint (including part of the metatarsal) is chai bypass. Depending on the condition of the tiger's mouth, the second toe can be with a rudder-like dorsum flap. The abductor pollicis brevis muscle should be repaired intraoperatively.
5) V-degree defect: second toe grafting and reconstruction with diamond-shaped dorsal foot flap and metatarsophalangeal joint. The thumb should be repaired or reconstructed intraoperatively.
Palms up. Function. (6) Degree defect:
Second toe grafting with enlarged diamond-shaped dorsal foot flap, metatarsophalangeal joint, and second metatarsal of some length, and thumb-to-palm function should be reconstructed intraoperatively. Finger reconstruction: The ipsilateral hallux or the thumbnail flap should be selected, and the contralateral second toe should be transplanted. 2.
Other finger reconstruction methods are selected: (1) Single finger defect: those who require reconstruction, can use anastomotic toe finger movement.
Vein. Second toe transplantation. (2) Defect of 4 fingers in one hand: according to different circumstances, it is retained.
Metacarpophalangeal joints. If the metacarpophalangeal joints are damaged, the second toe with metatarsophalangeal joints on both sides is mainly transplanted and transplanted, and the vermiform muscle function is reconstructed at the same time. (3) One hand 1 5 finger defect:
The contralateral second toe is transplanted to reconstruct the thumb, and the ipsilateral second toe or the 2nd and 3rd toes are reconstructed 1 2 fingers.
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