When babies have hand and foot deformities, parents are often very anxious and don’t know what to do or when to do what. During the consultation process I found that many parents are not very clear about some issues before and after the surgery. Today, I’ll give you a general overview of the 8 issues that parents are most concerned about. 1. How long before the surgery? Generally speaking, no matter what kind of hand and foot deformity is involved, in order to have a clearer understanding of the specific situation, you can usually bring your child to the hospital after 3 months of age to take x-rays. 2.Why should I have a heart ultrasound? All children with hand and foot deformities need to have cardiac ultrasound before surgery because congenital hand and foot deformities may be combined with heart deformities, and if the problem is serious, the heart problem should be solved first, and then the hand and foot deformities are usually corrected after six months. 3, weight requirements Usually need to be above 6kg, for children with polydactyly and syndactyly, the weight is up to standard and the health condition is good, and the surgery can be done in about six months. For children with floating thumb, if you want to do hemi-metacarpal bone graft reconstruction surgery (SMRT floating thumb reconstruction surgery), you should not only consider the weight and physical health condition, but also see if the width of the metacarpal bone is suitable. If the situation is special, such as the child is a more serious girdle syndrome, need to operate as soon as possible. 4.Feeding time If the child is formula-fed, fast 6 hours before surgery; if the child is breast-fed, fast 4 hours before surgery; if the child is older, fast 6 hours before surgery if the child eats non-protein food, and fast 8 hours before surgery if the child eats protein-containing food. 5.Post-operative feeding time 6 hours after surgery, the child can eat, whether it is breast milk, milk powder or other food, should start to resume eating after 6 hours to prevent accidental aspiration or being choked. 6.Post-operative care The post-operative care should pay attention to the following aspects: (1) pay attention to the airway, whether there is shortness of breath and sputum; (2) pay attention to whether there is fever; (3) pay attention to the dressing not to slip off and not to press the affected area. 7.Time of review and drug change The time of review and drug change differs for different cases of hand and foot deformity: (1)Multifinger A review is conducted once a month, and another review is conducted once a month and a half. If the nail needs to be removed, this is usually done at 4 or 6 weeks. (2) Syndactyly Usually reviewed once a month or so, and then depending on the situation, a later specific review time will be determined. (3) Floating thumb If you are close to the hospital, you will usually be reviewed about once a month and a second time in about 3 and a half months. The second stage is reviewed once in about 24 days after surgery. 8.Functional exercise Regardless of hand deformities such as polydactyly, syndactyly or floating thumb, functional exercise is needed after surgery, and functional exercise is divided into passive exercise and active exercise. In the passive exercise, parents should comfort the child to relieve the child’s emotions, sometimes the child will cry out in pain, but in fact not pain, just more nervous, then need the comfort of parents. When performing active exercise, parents mainly guide the child and let the child imitate the adult’s actions, such as shaking hands. Foot deformities basically do not involve exercise, and normal weight-bearing walking is sufficient. In conclusion, for the treatment of children with congenital hand and foot deformities, the above 8 issues are the most important concerns of parents in the clinic on a regular basis, and we hope they will be helpful.