FIELD: medicine. SUBSTANCE: method involves forming graft having neurovascular complex introduced into the cuff center. Sural nerve with lesser subcutaneous vein are included into the complex as single block. The cuff is produced from fascial cellular islet flap cut from the own crural fascia sublayer. The flap is cut so that its connections to the sural nerve and vein are retained and its length being equal to nerve trunk defect length. Then the sural nerve is transected below the distal end of the cuff. The vein transected at the level of the fifth metatarsal bone is anastomosed with the selected and transected back artery of the foot. Incision is made in the injured nerve trunk projection to remove cicatrix tissues from the ends. The selected graft is transferred to the defect. Fascial cicatricial layer and vein transformed into artery as vascular pedicle are retained on the cuff. Nerve trunk ends and the corresponding graft nerve ends are connected with sutures. Blood circulation is restored in the graft by connecting graft vein to recipient artery. EFFECT: avoided cicatrix compression of the graft. 4 dwg
Authors
Dates
2001-12-10—Published
1998-10-21—Filed