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PubMed1991

[The use of island flaps and transplants with a blood supply in the reconstructive microsurgery of injuries to the fingers and hand].

The variants of operative tactics and technique of early microsurgical autoplasty of the extensive crushed and scalped wounds of the digits and hand in 15 patients are presented. Three main groups of the sufferers were distinguished: with scalping of the I digit, with crushing of the digits and a skin defect of the butt-end of a hand stump, with totally scalped wounds of the hand and low third of the forearm. The advantages of the use of reversed flaps of the forearm with suture of a sensory nerve in limited defects, and free transplant of the greater omentum in extensive wounds are shown.

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