RESUMO
A new method of restoration of the function of the upper limb in extensive posttraumatic defects of bones and soft tissues of the cubital joint has been elaborated. The method is based on the excision of scar tissues with simultaneous implantation of the endoprosthesis of the K. M. Sivash type. The produced defect is covered by a free vascularized thoracodorsal skin-muscle transplant using the microstructural technique. Four operations have been performed so far. Clinical observations are reported. The method is efficient as it ensures reliable covering of the hinge part of the endoprosthesis by full-thickness skin, shortening the time of rehabilitation treatment 3-4 times and achieving more complete restoration of the function of the upper limb.
