A way of artery recovery for osteovascular trauma (an alternative to "An Englishman in New York")

Osteosynthesis with a wire-and-halfpin device was performed in 6 adult mongrel dogs as well as resection of femoral shaft part and superficial femoral artery (10-15% of initial length), and subsequently, at the expense of the limb segment shortening achieved, - end-to-end juxtaposition of the artery ends using 9-12 microsurgical sutures of 7/0-8/0 gauge for the purpose of approving the technique for artery reconstruction after osteovascular trauma. The vascular anastomosis was covered with an autogenous cuff, formed from the artery resected fragment. To restore the initial length of segment 7-11 days after surgery distraction was started by 0,25 mm with daily rate of 0,75 mm. Physiologic and morphologic studies made in different periods after surgery demonstrated that these manipulations in the aggregate allow to improve the juxtaposition of histogenetically homogenous structures, solve the problems of discrepancy of the diameters of the artery ends being sutured and those of anastomosis hermetic sealing, prevent development of intraluminal stenosis and aneurysms. Regeneration of anastomosed by the worked-out technique artery under graduated distraction includes formation of the neomedia of laminar cellullar-and-fibrillar structure. There is no stenotic remodeling in long-term periods after surgery.