Reconstructive-and-plastic surgeries in treatment of patients with defects of integumentary tissues

Purpose. To study the efficiency of the techniques of surgical treatment of patients with defects of integumentary tissues. Materials and Methods. The analysis of the long-term results of surgical treatment made in 204 injured persons with defects of integumentary tissues who underwent 219 surgical interventions for the last 25 years. Transplantation of split-thickness dermatome grafts used for treatment of skin integument superficial defects. The plasty procedure with local tissues used to treat deep fasciocutaneous defects. The cross plasty procedure used in treatment of injured persons with the defects of the hand finger dorsal and palmar surfaces. The laterodorsal flap of the second finger, an interdigital flap or Littler flap used for treatment of the first finger defects. Complex axial flaps used in order to restore forearm active extension, as well as to close the defects of the hand ulnar and dorsal surfaces. The technique developed for filling the defects of the anterior surface of the leg lower third using a musculofascial graft of the leg. Results. The transplanted flaps engrafted in 90 % of the operated patients. Skin detachment and necrosis of the transplanted flap were the causes of poor results. Such patients underwent necrectomy and transplantation of split-thickness dermatome grafts. The engraftment achieved in all of them. Conclusion. The used techniques of reconstructive-and-plastic surgeries proved efficient for treatment of injured persons with integumentary tissue defects.