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Principles of treatment of polystructural injuries of limbs in children

Authors suggest to use a term polystrusctural injuries when two or more anatomic structures within either one segment or extremity are injured and reconstructive treatment is required. Experience in treatment of 256 patients with polystructural limb injuries is summarized. The consequence of reconstructive operations on skin, bones, muscular-ligamentous elements, vessels and peripheral nerves. Main techniques for the reconstruction of injured anatomic structures depending on their nature and combinations are presented. Using elaborated principles of treatment for polystructural limb injuries positive results are achieved in 93.5% of cases.