[Principles of microsurgical transplantation of tissue complexes in reconstructive surgery of the limbs].

The article describes the experience with 22 free transplantations of tissue complexes performed on 21 patients with traumas and injuries of extremities and gives characteristics of the following general principles responsible for success of the procedure: a) the flap must have the intact internal vascularization and nourishment of all the tissues; b) the patency of microvascular anastomoses must be preserved and compression of the flap vascular pedicle prevented; c) conditions of the flap contact with the recipient bed must be optimized.