FIELD: medicine.
SUBSTANCE: under regional anaesthesia, a fasciocutaneous flap is separated from a dorsal approach in a second intermetacarpal space on the periphery on a third metacarpal. A dorsal transverse artery of wrist with accompanying veins is separated and ligatured twice, and transected in between. A second metacarpal graft vascularised by a second metacarpal artery, which is a branch of the dorsal transverse artery of wrist is transplanted on a thumb stump. The transplanted graft is fixed with wires.
EFFECT: method prevents reducing the blood flow of wrist, creates the adequate shape of the thumb, ensures the complete discrimination sensitivity and resistance to mechanical injuries.
10 dwg, 1 ex
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