Treatment of deep extensive wound defect of the upper limb by dosed tissue distraction as a result of high-energy trauma

The elimination of extensive soft tissue defects resulting from high-energy trauma or injuries is a complex and urgent task of modern surgery. In most cases, soft tissue deficiency does not allow the wound to be closed initially, and spontaneous healing is a lengthy process that is associated with the development of various complications. Traditional methods of autoplasty using microsurgical techniques, including vascularized grafts, require specialized tools, differ in technical complexity and the duration of the surgical aid. The most affordable alternative in different phases of the wound process for deep and extensive wound defects is increasingly the use of a method of controlled increase in skin surface area by mechanical stretching or the method of metered tissue distraction (MMTD). The article presents a clinical observation using MMTD in its own modification as the first stage of reconstructive and restorative treatment.