Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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VASCULARIZED SKIN AND SOFT TISSUE PLASTIC BY AXIAL FLAPS IN TREATMENT OF PATIENTS WITH COMBINED SHIN AND FOOT INJURIES

Bogov A.A. 1, 2 Ibragimova L.Y. 1 Mullin R.I. 1 Khannanova I.G. 1 Masgutov R.F. 1
1  Republican clinical hospital
2  Kazan state medical academy
In present paper we carried out statistical analysis of etiological factors and localization of combined injures of distal part of lower extremity. We described anatomical features of shin and foot. It was noted that the blood supply and feature a minimum mobility of the skin of leg and foot, in most cases, the combined injuries and open fractures, not to close the wound edges by moving after immobilization. Despite significant progress in the development of Plastic and Reconstructive Surgery, the achievements in the study of the donor area, search for new methods of treatment of soft tissue defects with combined injuries of the foot and lower leg is still relevant. In this regard, we analyzed indications and contraindications of vascularized and not vascularized of skin and soft tissue plastic by free transplants, of vascularized of skin and soft tissue plastic by not free axial flaps depending of size and depth of defect. We described an assessment of results of vascularized skin and soft tissue plastic by axial flaps in treatment of patients with combined shin and foot injuries.