Patient advice: Hello doctor, my child’s hand belongs to the congenital thumb dysplasia, in our place to see the doctor, the doctor said it is the thumb dysplasia type 4 floating thumb, recommended to wait for the child a little bit older for the finger thumbing, four fingers for the child is still crippled, we have always been very hesitant, I saw your video, said that metacarpal bone grafting and reconstruction can protect the child’s five fingers, like my child such a floating Is there any way to save five fingers with a floating thumb like my child’s? Floating thumb is a type of congenital thumb dysplasia, which is a more serious congenital hand and foot deformity. Surgery is needed to rebuild the function and improve the appearance of the child’s floating thumb, and many parents are not comfortable with bunionization and would like to keep their child’s five fingers. Nowadays, the latest surgical procedure for treating bunions – Semi Metacarpal Bone Graft Reconstruction (SMRT Bunion Reconstruction) – has multiple advantages in treating bunions. Not only can the child’s five fingers be preserved, but the entire surgery is performed on the child’s hand only, without affecting other parts of the child’s body. After the surgery, there is no need to put a cast on the child’s hand, and the care is relatively simple. The most important thing is that children can receive the surgery between 6 months and 1 year old. We all know that the earlier the surgery is performed, the earlier the child can establish the function of the thumb, so what parents need to do is to let the child receive the surgery as early as possible, and actively help the child to do the recovery exercises after the surgery, and the function and appearance of the child’s thumb will generally be improved after the surgery.