METHOD OF COMPENSATING SEMICIRCULAR DEFECT OF TISSUES OF PALM SURFACE OF I FINGER IN COMBINATION WITH FRACTURE AND BONE TISSUE DEFECT Russian patent published in 2014 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: after mobilisation of the common digital artery and its branches - palmar proper arteries of III and IV fingers, two flaps are cut out on the basis of the common digital artery: one from the medial surface of III finger, the second - from the lateral surface of IV finger. After that, an additional skin-fascial cut from the base of the neurovascular pedicle to the defect zone is performed. Then, the flaps are lifted, their common vascular pedicle is lifted and turned and placed in the wound surface of a defect. The flaps are fixed with installation sutures. By means of osteosynthesis apparatus the position of bone fragments is corrected with achievement of optimal configuration and a condition of the flap blood supply.

EFFECT: improvement of the first finger function due to the application of the non-free neurovascular flap from the covering tissues of the medial and lateral surfaces of three-phalange fingers.

1 ex, 5 dwg