FIELD: medicine.
SUBSTANCE: invention relates to medicine, in particular to plastic and reconstructive surgery. Implantation of expander is carried out and gradual dermatension of unchanged skin is performed. Scar-changed tissues are excised in first interdigital gap. In projection of distal base of cupula of stretched tissues cut out is dorsal rotational flap on feeding pediclewith base facing second metacarpophalangeal joint, and with apex to first finger base, fully covering wound defect. Flap is turned into first interdigital gap, donor wound being covered with distracted tissues, moved from ulnar edge of hand.
EFFECT: method ensures recovery of first hand ray function, full covering of donor defect with distracted tissues without tension, reduction of damage to donor resources of injured hand, reduction of risk to develop ischemic disorders in displaced flap.
1 ex; 3 dwg
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