[Possibilities of a compound bone and soft tissue complex in reconstructive surgery].

The method of forming a bone and soft tissue complex for reconstructive surgery is presented. Sixty-eight transplantations of compound flaps of soft tissues, muscles and bones including ones on microvascular anastomosis were performed in 66 patients. Good functional and esthetic results were seen in 86.8% cases, satisfactory -- in 11.8%. It is very important to form vascular pedicle precisely, and to make an adequate choice of the shape and size of the flap. There is no prolonged immobilization of the extremity after microsurgical transplantation that is very important for children and adolescents because this prevents joint stiffness and long stay in bed in conventional treatment (Italian plasty, Filatov's graft, etc). The proposed method of forming the bone and soft tissue complex simplifies technical aspects of transplantation and monitoring. Transplantation of costal-thoracodorsal complex is a method of choice in large soft tissue defects.