title: [Diagnostics and correction of vascular disorders in upper extremity muscular transplants].
abstract: The features of clinical presentation, diagnosis and treatment of the acute circulatory disorders of muscular transplants in 7 patients after 59 transplantations of revascularized and reinnervated muscle grafts in severe consequences of upper extremities injuries were presented in the article. Tissue complex on pedicle were transplanted to upper extremity in Volkmann contracture (n=47), in consequences of the gunshot wound (n=7) and electric trauma (n=5). Signs of circulatory disorders of the transplanted tissue complex were registered shortly after the operation in 7 patients. Diagnosis was based on the findings of visual and ultrasound investigations. In all cases of circulatory disorders disorders patients were reoperated within 24 hours. Arterial thrombosis occurred in 3 cases and venous - in 2. The cause of impaired venous outflow was a hematoma in 2 cases. Repeated reconstruction of anastomoses with wound drainage in 5 cases led to restoration of blood circulation in transplants. Reoperation was not successful in 2 cases with developing transplant necrosis.
authors.forename: M Kh
authors.initials: MKh
authors.lastname: Malikov
authors.forename: U A
authors.initials: UA
authors.lastname: Kurbanov
authors.forename: G D
authors.initials: GD
authors.lastname: Karimzade
mesh_terms: D000328:Adult; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012039:Regional Blood Flow; D012086:Reoperation; D013524:Surgical Flaps / Q000098:blood supply*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D034941:Upper Extremity / Q000293:injuries / Q000601:surgery; D020246:Venous Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery