[Microsurgical autotransplantation in the correction of post-traumatic foot defects]. / Mikrokhirurgicheskaia autotransplantatsia pri korrektsii posttravmaticheskikh defectov stopy.

In the article is analyzed the experience of treatment of 211 patients with traumata, which are the results of thermal and irradiation foot injuries. 30 patients were subjected to microsurgical reconstruction with application of complex of tissular transplants. There were differentiated 3 types of foot tissue injuries, determining transplants and operative technique selection. It has been determined that the closure of ulcerous defects in case of post-thrombotic disease is possible with utilization of radial graft of forearm on long venous pedicle. Prevention of venous anastomosis thrombosis is contributed to by formation of peripheral arteriovenous anastomosis in the transplant. Impartment of the points of fixation of the muscular part with the locomotive nerve suture contributes to the increase of adequate reliability of musculocutaneous graft. Utilization of osseous transplant of iliac crest allows to perform an orthopaedic correction of the lost anterior part of foot and prevents limb amputation.

[Pathogenesis of traumatic subdural hydroma]. / O patogeneze travmaticheskikh subdural'nykh gidrom.

Pathogenetic factors leading to the formation of traumatic subdural hygromas (TSH) are identified from analysis of the results of complex examination of 156 patients. Comparative biochemical tests of CSF, blood serum and the hygroma fluid in 15 patients showed the hygroma to contain CSF. The formation of TSH was always a consequence of brain contusion, usually of a severe degree, and rupture of the basal CSF cisterns. As the result of critical analysis of the existing theories of TSH pathogenesis a new conception is formulated.