14 12 A 38-year-old textile worker surnamed Weng was sent to the emergency department for emergency treatment because of an industrial accident, but his right forearm was still amputated near the elbow, but now he can't reattach it because of the broken limb. Jin Chen, a plastic surgeon at Chi Mei Medical Center, has undergone a series of treatments, including dressing change and debridement of negative pressure wounds, and finally reconstruction with micro-flaps, so as to keep enough limb length and facilitate the installation of artificial limbs. Follow-up refers to rehabilitation training and good recovery. The patient surnamed Weng successfully returned to work in June 2005 15438+065438. Sensory retraining of skin flap transplantation should also be carried out as soon as possible. Yang Shuyu, a functional therapist in the rehabilitation department of Chi Mei Medical Center, who is responsible for assisting patients with Weng's surname, explained that the higher the amputation position (near the shoulder) of upper limb amputees, the more difficult it will be for them to use prosthetic limbs. Fortunately, Weng's case was a traumatic elbow amputation. However, due to the mechanism of injury, skin damage is serious. In order to preserve the residual limb as much as possible, free thigh flap transplantation is more complicated than amputation. Therefore, in addition to the training of residual limb shaping and prosthetic control system, the sensory retraining plan of flap transplantation site should also be carried out as soon as possible. Yang Shuyu, a functional therapist who established the interactive relationship of progress, support and trust, pointed out that wound care, maintaining skin integrity, increasing joint mobility, residual limb edema, surgical scar treatment, pain control and other aspects should be included in the treatment plan, and phantom limb pain should be paid attention to. Fortunately, the family members of Weng patients are very supportive and cooperative in the treatment. By establishing a continuous, supportive and trusting therapeutic interaction and facing all the processes in an open discussion, although the above problems are encountered, they can all be solved. Dr. Chen said that although an occupational accident is a lifelong pain, especially the loss of an arm, plastic surgery has tried its best to make it possible to transplant a functional arm with a micro-flap, and will invite an experienced functional therapist to try his best to restore the important function of the hand through planned rehabilitation training, so that patients surnamed Weng can not only engage in basic daily activities, but also return to work smoothly within one year. Subscribe to the health Aloha audio-visual channel, read health knowledge more easily, and pay attention to your health every day! Line @ ID: @:/beauty/article/32192 Keywords: amputation, industrial accident, rehabilitation, prosthesis, Chen, Yang Shuyu.