New aspects of the use of «signal» flaps of the transplanted tissue complexes and skin- fascial flaps on microanastomoses in plasty reconstruction of fingers

The possibility to use skin-fascial flaps grafted on the microanastomoses either in isolation or as a part of bone-dermal graft for the substitution of soft tissue defects in various regions of the reconstructed fingers and in the first interdigital space is studied. It is determined that the formation of the face surface by signal flap prevents the prolapse of its bone stroma and the development of trophic disorders in the soft tissues. The expediency of the transplanted flaps reinnervation is showed. A new approach to the formation of the first interdigital space in the adduction contractures of the first metacarpal bone in the carpo-metacarpal joint.