Elderly man’s broken wrist successfully reimplanted

This year’s 72-year-old Lao Jin, in his son’s factory to help do the work, the hand was electric scissors accidentally cut into two, the wrist from the middle of the complete severance. 11:00 on March 2, to “the right wrist in the middle of the complete severance injury” admitted to Jiaxing Second Hospital. At present, the patient’s broken wrist reimplantation surgery was successful, after the vascular anastomosis embolism, vasospasm, wound infection of the three major difficulties, is gradually recovering. Jiaxing second hospital hand and foot surgery director Zheng Song said for patients with broken wrist replanting has been a lot of precedent, broken wrist reattachment of the technical difficulties lies in the wrist more than 20 tendons to “one by one”, the number of tendons required to anastomosis, and after the severance of the tendons retracted, to the probe, looking for a lot of difficulty. Due to the physiological structure of the wrist joint, its reimplantation needs to pay attention to the alignment of the bone and joint, the three major nerves of the precise anastomosis, so the anatomical requirements for doctors are very strict. Jiaxing Second Hospital Hand and Foot Surgery Department has successfully carried out the broken palm replanting, broken wrist replanting, all kinds of broken fingers (limbs) replanting, finger defects of the modification of the reconstruction, repair of vascular nerve injury of the extremities, soft tissue defects of all kinds of skin (muscle) flap repair, bone defects with vascular bone flap transplantation, brachial plexus nerve injury surgical treatment. Zheng Song said that at present the department overcame the bottleneck in terms of personnel, composed of a team with a very reasonable distribution of personnel, for hand trauma renewal time constraints (due to hand and foot trauma hemorrhage, muscles, nerves for a long time will be atrophied, necrosis, must be operated on within six hours), long operating time (human hand and foot parts of the precision, and the anatomical structure of the complexity of the operation tends to last for more than an hour) characteristics of the talent echelon Under the guarantee of the talent ladder, the department can reasonably deploy manpower on standby and be ready to serve patients at all times. Exploring blood vessels, performing vein grafts, and bridging arteries are all familiar techniques to hand and foot surgeons. The patient with a broken wrist, if he recovers well, will be able to grasp, pinch, hold and other movements, and will be able to take care of himself in the future. The success of the reimplantation surgery also plays a most important role in saving the patient from deeper psychological trauma, restoring the shape of the hand and minimizing the psychological blow. And the function of the reimplanted hand is beyond the reach of any advanced electric hand in the world. Zheng Song made an analogy, saying that hand and foot surgery does high-risk, high-reward things. Re-implantation of a broken wrist is technically demanding and difficult, but once it is successful, the benefits are great. The two biggest difficulties in reimplantation surgery for this elderly patient were: First, after all, the patient’s age, and the amount of intraoperative bleeding, and even life-threatening. 72 years of age is not uncommon to suffer hand trauma, and such injuries usually occur in the young and middle-aged, such as some workers engaged in high-risk jobs. Second, the patient’s previous smoking history of up to 20 years, blood vessels in the prevention of spasm, embolism have a “fragile” side. To this kind of elderly patients for large limb severance injury reimplantation, the surgical risk is really very big, in Zheng Song, Liu Ming, Chen Bin, Xu Weibin and other six doctors grew up to 8 hours of unremitting efforts, broken wrist reimplantation was successful, the patient is now in good condition. Zheng Song, deputy chief physician, said that the current hand and foot trauma patients show a growing trend, and it seems that the injury also has a “seasonal”, mainly concentrated in the Spring Festival, July to August heat and winter. He explained that the main reason is that after the year back to work, many factories new employees, once negligent training, will increase the chance of accidents. The summer and summer due to the harsh climate, it will make the workers overwhelmed, distracted, accidents, winter, especially after frost, limbs will be numb because of the cold, the loss of acute senses, these hidden dangers will threaten the lives of workers. So in the face of one accident after another, the importance of safety must be kept in mind.