On Monday, we had a crabapple baby in the clinic. As soon as he came in, the parents told me that the baby also had heart problems and needed surgery, and asked me which one should be done first. I told him that he could have the heart surgery first, but the parents seemed to prefer to have the crabby polydactyly surgery first, because the baby was already over 1 year old, and the crabby polydactyly surgery could not be done until 6 months after the heart surgery, so the parents were anxious that it was a little late. So when it comes to this kind of urgent situation, can the crab pincer polydactyly surgery be put in front of the heart surgery? The answer is no, because it would be troublesome to do the multi-finger surgery in this case in case of infection. Therefore, from the safety point of view, we would prefer to do the heart surgery first. “Can a child with polydactyly have other diseases, such as heart?” This is a possibility, so we always ask parents to take their baby for a cardiac ultrasound before we do the polydactyly surgery. This is because there is about a ten percent chance that a baby with a hand deformity will have a heart condition, which is not a low percentage. The difference is that some babies get better when they get better, but others need surgery. “How will crab claw polydactyly be treated?” For this type of crab claw polydactyly we will remove the smaller finger because it will look and function worse. After removal, the preserved finger is corrected, which consists of three aspects: adjusting the tendons, repairing the joint capsule, and strengthening the ligaments to give the thumb a better appearance and function. “The preserved finger is thin, can it grow the same as a normal finger in the future?” There is still room for the finger to grow after the surgery, and its appearance will be closer and closer to that of a normal thumb. After certain functional exercises, the baby will have no problem writing or playing the piano.