[Comparative analysis of the results of the treatment of pain after amputation of the arm].

Postamputation pain syndrome significantly embarrasses prosthetics. In the article is described the transposition of the nerve trunks of the brachial plexus with terminal neuromas into the formed tunnel under the musculus pectoralis major, applied by the authors at 47 invalids (52 operations) with pain in the arm stump. The results of an operation have been studied in comparison with the results obtained after resection of the terminal neuromas.

[Medical rehabilitation of patients after amputation of the leg in sarcoma].

An analysis of data of 348 patients with malignant tumors of soft tissues has shown that 128 of them had been subjected to the amputation of extremities at different levels. The use of microsurgical techniques favours the improvement of the method of amputation of lower extremities, in particular the transplantation of a calcaneoplantar flap onto the stump end. In order to make the treatment of phantom limb pains more effective acupuncture should be included into the complex of therapeutic measures in addition to traditional methods.

[Fractures of upper extremities and their treatment in polytrauma].

Under study were results of treatment of 150 patients with multiple and associated injuries of the upper extremities. Shock took place in 44% of the patients. Early fixation of the fractures of the upper extremities allowed a successful treatment of other injuries as well.

[Restorative operations using microsurgical technics in abruption of large segments of the upper limb].

Ten observations of replantations of the hand, forearm and shoulder after their traumatic abjunction are analyzed. Seven patients had complete reimplantation. Failures resulted from prolonged anoxia of the abjuncted segment or from extensive lesions to soft tissues of the replant.

[Treatment of the muscles in primary amputation of the lower extremity].

Histological and histochemical investigations of muscles in 18 patients have shown that when performing primary amputations of lower extremities according to the type of surgical treatment in the wound stump there necessarily remains muscular tissue of lower viability with necrotic areas.

[Leg amputation with transposition of the plantar skin and calcaneous tuber in severe mechanical trauma complicated by shock].

Diaphyseal shin amputations with transposition of the plantar skin and calcanean tuber on the neurovascular bundle were performed upon 4 cases. The late results have been studied. The patients use prothesis with the support on the end of the stump, and walk without the walking-stick.