[Use of several microvascular flaps in replacement of extensive suppurative-necrotic defects of the supporting surface of the foot: transplantation of a double shin-foot flap].

The scheme of conduction of the microvascular transplantation using double flap of shin and foot combined with musculus serratus anterior is adduced. The double combination consists of the transplant of medial shin surface and medial plantar fragment. The advantages of the proposed method (availability of thin hypodermic base, own sensitive nerve, united blood supply system, and also long vascular pedicle, resistance for the exercise load, possibility of linking up of the third complex, and, perhaps, minimal harm done to donor region) contrary to the transplantation of a piece transplant having large dimensions permit to apply more effectively the double flap for the supporting points of foot substitution.

[Various forms of lesions of the femur head in Legg-Perthes disease].

The authors described small-focal, limited and disseminated forms of the femoral head affection. They differ in localization and extent of the necrotization foci and don't transform themselves in the course of disease. Comparison of anatomical data, roentgenologic and angiographic examinations allows to infer that the described forms of affection are conditioned by the blockade of the vascular basins of the intraosseous circulatory system of the epiphysis.