[The M, L. Vydrin open method of management of the umbilical stump].
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The emergency transfer of a composite microvascular graft comprising the calcaneum, heel-pad and plantar skin in a twelve-year-old child allowed the amputation level to be changed from the upper to the lower third of the thigh and full weight-bearing solely on the bottom of the prosthesis was achieved. This method has several functional and trophic advantages which justify its performance when the indications are appropriate.