Patient: Dr. Wang, hello, the child was eight months when the bottle was knocked over, now three years old, hands lying in the water, the left hand at the time to take the cool water rinse, lighter, a little scar, not heavy, and did not affect the hand function, the right hand did not rinse water water, and clothes covered, the right arm hyperplasia serious, finger seams a little sticky, between the big finger and wrist hyperplasia is very high, directly pulling the big finger, big finger towards the wrist direction The child went to Ruijin Hospital in Shanghai when he was one year old and was told that it was not the right time to have surgery, then we had an elastic sleeve made, the effect was not obvious, probably because he did not insist on it, and at the age of two he went to Beijing Air Force Hospital to have the colonization done, the one on his stomach was taken, and the colonization went to the palm of his hand, at that time his hand could not be stretched out straight, but now his hand can be stretched out straight, but his fingers are a little bit stuck together and his big fingers are skewed outwards. The child needs to write or something soon, as long as it does not affect the function of the hand, but mainly the big finger and the adhesions. Is it possible to do it without skin grafting? The child is really suffering, is there any other way? Wang Aiguo: It depends on the situation, if the deformity is serious and the scar is large, we must use the skin implant method, otherwise we can’t achieve the purpose of loosening the scar to correct the deformity, you can send the picture of the child’s appearance, and we will give you suggestions according to the child’s specific situation. Patient: Thank you Dr. Wang, the hyperplasia at the wrist is serious and pulls on the thumb, do I need to do the surgery now or in a few years? If I don’t do it now, will it affect the growth of his hand? I wonder if now is the best time to do the surgery? Do you have an email address? If so, tell me the email number and I will send you the photo of the child’s hand to help me look at it. Wang Aiguo: If the scar is serious it will definitely affect the development of the finger. The so-called best time for surgery is a trade-off between the least complications and the best results. combined with the condition.