Reconstruction of thumb lll degree defect

Suitable for the right thumb is lll degree defect. Treatment of diseases: hand trauma, open hand injury Indication Suitable for the right thumb is lll degree defect. 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 The right thumb is lll degree defect. There are also defects and deformities in the indications, middle and ring fingers. The second toe was transplanted to reconstruct the thumb. A coronal incision was made at the dorsal root of the second toe. Separate the dorsal vein and the extensor tendon of the toe and dissipate the appropriate length to the proximal end. A coronal incision was made on the temporal side of the second toe root. Separation of the lateral toe floor artery, nerves, and toe long flexor tendon to the length of the tongue. Cut the phalan at the appropriate part of the proximal phalanges. According to the length of the referred blood vessels, nerves, and tendons, the blood vessels, nerves, and tendons of the toes are cut off from higher positions. The second toe is disconnected and ready for transplantation. The toe wound is directly sutured. The stump of the thumb is a coronal incision, free vein, artery, finger intrinsic nerve, extensor digitorum longus, and flexor hallucis longus. Bite the stump to harden the bone. The phalanx is fixed with a single Kirschner wire in a longitudinal or oblique shape to suture the periosteum. Repair the extension and flexor tendons, and adjust the tension of the finger muscles to the resting position of the thumb. Anastomotic toe vein and toe finger artery. Rebuild the thumb to rebuild the blood circulation.