This baby is very similar to a baby I did a thumb “moving” surgery before, both have an extra thumb on the left hand, the right hand is a floating thumb, the parents also saw the TV station on my previous thumb “moving” surgery news report to Wuhan to find me, although the two babies look very similar, but in fact they are not the same. Although the two babies’ cases look very similar, they are actually different. The parents of this baby had been to many other hospitals before they found me, but the advice they received was more or less the same, saying that there was nothing to be done for the baby’s hand, and that the baby’s left hand would be treated by removing the extra thumb, removing the floating bunion, and then doing a bunionization of the finger directly. After the operation, the left hand with extra fingers will become five fingers, while the right hand with floating thumb will only have four fingers forever, which is still quite difficult for parents to accept. The problem was that the baby’s right hand would still be mutilated after the surgery, but without the surgery, the right thumb would not be functional, so the baby would not be able to do a lot of things, and it would not be conducive to the baby’s growth, and the baby would suffer from low self-esteem, so the parents were caught in a dilemma. The parents were in a dilemma. Seeing the news report on TV rekindled their hope and confirmed the surgical plan after the interview Although they had been to a number of hospitals, the parents did not have any other channels to learn about better treatments at that time, but they did not give up looking for relevant data and information on floating bunions, and they had been searching for cases similar to their own baby’s. Later on, they saw a news report on TV and found that one of the babies we treated had a very similar condition to theirs. After seeing a TV news report, they found out that one of the babies we had treated was very similar to theirs, with multiple fingers on the left hand and a floating bunion on the right hand, and that the child’s hand was intact after the bunion “moving” surgery and recovered well after the surgery, which gave the parents renewed hope, so they came to Wuhan and found me. At that time, the baby was still very small, more than one year old when he came to the clinic. I looked at his hand and carefully examined the fingers, and after the clinic, I found that this baby could indeed use the thumb “moving” surgery program that we have used before, although we have done this kind of surgery before, but every baby’s situation is different, we still made a plan for this baby’s situation. We have done this procedure before, but since every baby is different, we have developed a thumb “moving” surgery program for this baby. What does “thumb removal” mean? In fact, it is very simple, it is to correct the polydactyly by utilizing the extra bone of the polydactyly to reconstruct the metacarpal bone of the floating thumb through bone grafting. After the second surgery, the parents could only passively move the baby’s thumb at home After the surgical plan was finalized, we arranged the first surgery for the baby, and the surgery went smoothly. However, when it was time for the second reconstructive surgery, there was a serious epidemic and the baby could not come to Wuhan for the surgery. In this special case, we kept in touch with the parents, and even if we didn’t do the reconstructive surgery for the baby, the baby was still able to do functional exercises at this time. The parents started to passively move the baby’s thumb at home according to our request, and the parents did a very good job, and after the epidemic got better, the baby came back to the hospital, and we did the second reconstructive surgery for him. About three to four weeks after the surgery, the baby started to perform functional exercises. At that time, we designed different exercise programs for the baby, and the baby’s parents cooperated very well and practiced them one by one for the baby at home. At the time of follow-up, the baby’s thumb was functioning very well, and he could hold a large pen and squeeze small objects. On a recent visit to the clinic for review, we found that this baby’s compliance was better, and the strength of his thumbs was very strong. The function and appearance of the baby’s thumbs in both hands had recovered very well, and he was able to perform basic movements such as palm-to-palm and grasping, and there was no problem in grasping small objects for these fine movements. I asked him to touch my pen with his thumb, and he was very cooperative. Every time his thumb touched the pen he happily applauded to show that he had done it, which was too cute and adorable. For this baby, parents can adopt an encouraging approach to guide the baby to continue with the functional recovery exercises, hoping that he will recover better and better in the future. Floating thumb combined with polydactyly, don’t simply remove the polydactyly, but make full use of it Parents should pay attention to this case where one hand has a polydactyly thumb and the other hand has a floating thumb, when facing this case of floating thumb combined with polydactyly, don’t simply remove the polydactyly, but make full use of the polydactyly finger to make a better bone graft, so as to let the baby get a functional first metacarpal. Instead, a better bone graft should be done to give the baby a functional first metacarpal bone, thus giving the baby’s thumb a new function. This is a best-of-both-worlds approach that not only successfully removes the baby’s extra thumb, but also utilizes the extra thumb in a floating thumb and successfully preserves all five fingers. While the thumb “moving” surgical option may sound simple, there are many things to keep in mind during the design and execution of the procedure.