gms | German Medical Science

Objectives/Interrogation: Traditional methods of the bone's replacement doesn't provide positive results in many cases, particularly in combination of bone, muscular, soft tissue and articular defects. Besides, the main difficulty of these methods is the impossibility of the restored segment to grow, since non of these methods doesn't provide the restoring of growth plate which is absent from the moment of birth or destroyed after the pathological involvement.

Blood-supplied bone graft may have still functional growth plate, it also may be taken as a part of big complex of tissues, including skin, subcutaneous fatty tissue, fascia, muscles and nerves.

Methods: From 1993 up to the present time on the Department of Reconstructive Microsurgery and Hand pathology 85 children were treated by microsurgical transplantations of the bone grafts. Among them 51 children had congenital developmental defects and 34 - acquired deformations.

Results and Conclusions: For transplantation we used: diaphysis of the fibular bone or external part of the scapula in the replacement of the bone defect, diaphysis in the absence of involvement of the soft tissues, 1 or 2 metatarsal bones for the restoration of distal or proximal epimetaphysis of bones, one or two ribs as a part of thoracodorsal flap in replacement of extensive defects, metatarsophalangeal joint of the first and second toes for the reconstruction of underdeveloped or injuried joints. Analysis of the obtained results showed significant perspectivity of the application of microsurgical transplantations of tissue complexes in severe bone defects in children with congenital and acquired pathologies.