A CASE OF SUCCESSFUL RECONSTRUCTION IN SEVERE OPEN INJURY OF THE UPPER LIMB WITH IMPAIRED CIRCULATION AND EXTENSIVE SKIN AND SOFT TISSUES DEFECT

Sh. M. Muminov*, O. N. Nizov, T. R. Minaev, Fayazov A. D., A. B. Khakimov, D. A. Khudaynazarov and S. I. Shukurov

ABSTRACT

This article discusses a case from practice. A 53-year-old patient received an open compression injury of the upper limb at the time of a traffic accident. The upper limb was saved. Restoration of arterial blood flow and free skin grafting were performed. Subsequently, due to the development of focal necrosis of the graft, secondary closure of an extensive skin-soft tissue defect of the forearm was performed by transplanting free split auto skin grafts taken from the anterior wall of the abdomen and lateral surfaces of the thighs. The results of treatment were found to be good, despite the presence of pronounced functional disorders of the hand and fingers with the likelihood of subsequent development of elbow joint contracture.

Keywords: Skin and Soft tissue defect, Decompensation of blood circulation, Necrosis of Skin and Soft tissues, Free skin plastic surgery.