Single-stage microsurgical reconstruction of large complex tissue defects of the lower extremities with two vascularized flaps

The purpose of this study was to explore the effectiveness combined one-stage reconstruction extensive complex defects lower limb tissues and analyze postoperative complications. Material methods . research involved 25 patients with bone soft tissue extremities. first group included 16 patients, where replacement soft-tissue leg carried out one bone-skin graft. second consisted 9 who, along major tibia, had concomitant damage tissues. To replace defects, autotransplantation technique 2 free flaps, (combined) used. Results discussion In our study, we analyzed early late complications, as well average time fusion graft recipient bed restoration supportability. did not observe any critical complications in period that would affect results patient`s treatment. increase incidence vascular is statistically significant. (30 days or more), stress fractures fibular graft, traumatic fracture delayed consolidation ends lasting more than 6 months were observed both groups patients. these comparable groups, there no significant differences. supportability have Conclusion. One-stage deep by using an appropriate combination two vascularized grafts (bone tissue) provides a complete without increasing frequency occurrence (total necrosis flaps wound infection process).