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.
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