Restrictive surgery for congenital polydactyly is the best after 65 ~ 438+0 years old. As for the minority, it is still necessary to observe the function of the hand for a long time in order to accurately retain the positive finger and remove the secondary finger. The soft tissue between fingers can be cut, the Z-shaped skin can be extended or the defect wound can be completely implanted. Polydactyly is a common deformity, which often coexists with short fingers and syndactyly, especially thumb and little finger.

The main treatment of congenital syndactyly is surgery, that is, two fingers that are separated and together. There is often not enough skin to repair the wound after finger amputation, and skin grafting is needed. At the same time, the design of operation is also very important. Improper design will not only increase the skin graft area, but also affect the appearance and even function of the hand. 1. In the first 24 hours after surgery, the child may cry because of anesthesia and surgery. But generally, after the first 24 hours, with the relief or disappearance of the wound pain, the child will completely return to normal. In order to prevent infection, antibiotics are usually injected intravenously for 3 days after operation for anti-inflammatory treatment. If the indwelling intravenous infusion tube falls off carelessly after operation, intravenous infusion can be stopped and antibiotic syrup can be taken orally to diminish inflammation.

Generally, you can leave the hospital and go home in 3 days after the operation.

Because the hand is bandaged with plaster bandage, there is no need to change the medicine before removing the suture of the incision.

4. The suture of incision should be removed about 14 days after operation. Generally, stitches should be removed under general anesthesia (but tracheal intubation is not needed). Therefore, we must make an appointment with the doctor to arrive in the ward at 8 o'clock on time on the day of stitches removal, and the children should be fasted and dehydrated after 2 o'clock the night before. After the stitches are removed, the child will be observed in the anesthesia recovery room for a period of time and can go home after being fully awake.

5, simple thumb compound deformity, after a surgical treatment, can end the treatment; However, for complex compound thumb deformity, bone hyperplasia, osteophyte formation, thumb deviation deformity, scar hyperplasia or incision contracture may occur in the long term after operation, and sometimes these secondary deformities need further surgical repair. Some careful parents even worry about the scar after operation. First of all, hyperplastic scars are not easy to appear on the hands. Secondly, surgeons usually choose very thin nylon thread or absorbable suture for detailed suture. Therefore, the postoperative scar is generally not obvious. As the child grows older, the scar will gradually become inconspicuous.