China News Network, Hefei, May 12 (Zhang Qiang, Zhang Wei) Recently, a hand and foot microsurgery department in the High-tech Zone of the First Affiliated Hospital of Anhui Medical University received a patient who was accidentally amputated by the machine. After 7 hours of surgery, the doctor successfully transplanted his toes to the broken finger. At present, the patient is recovering well. After about one and a half months of rehabilitation training, the fingers can move normally.
Mr. Wang, 41, is a mechanic in Tongling, Anhui. His income is the only source of income for a family of four. On March 8, Mr. Wang accidentally amputated his right thumb by the machine while working. For Mr. Wang who eats by "hands", it is almost equal to losing his ability to work. After the accident, Mr. Wang went to seek medical treatment, but he didn't get a satisfactory plan to rebuild his finger.
The doctor changed his fingers from his toes. Photo courtesy of the First Affiliated Hospital of Anyi Medical University
On April 10, Mr. Wang came to the High-tech Zone of the First Affiliated Hospital of Anyi Medical University. The team of Zhou Hongxiang, director of hand and foot microsurgery, decided to take nails and flaps from Mr. Wang ’s left big toe and from the second toe after analysis and discussion. Take bones and tendons, reassemble them and transplant them to the right thumb. On April 28, under the close cooperation of the operating room and the anesthesiology department, after 7 hours of operation, Mr. Wang's toes successfully "moved" to his finger.
According to Zhou Hongxiang, there are two major difficulties in the operation: one is the "cutting" process. The blood vessels and nerves of the two toes must be connected together, like "one pedicle and two melons", and cannot be damaged. This not only guarantees the maximum recovery of the function of the reconstruction thumb, but also makes the appearance more "realistic"; the second is the "stitching" process. The surgical process needs to be thinner than the hair under a professional surgical microscope with a magnification of 20 times. The suture of blood vessels and nerves is a test for the doctor's eyesight, stability and endurance.
Zhou Hongxiang explained that human walking mainly relies on the first metatarsal, fifth metatarsal and heel of the foot, so the skeletal tendon of the second toe of the toe will not affect Mr. Wang ’s walking.
At present, Mr. Wang is recovering well and can be discharged home recently. After about one and a half months of rehabilitation training, the reconstructed thumb can move normally and freely, and Mr. Wang can continue to return to work. (Finish)