[Technique of osteosynthesis in replantations of the upper extremity.]

The authors report on their experience with osteosynthesis in replantation of the upper extremities in 21 patients. For stable connection of the two parts they use the method of external osteosynthesis which enables the plastic surgeon to perform undisturbed surgery with access of the microscope along the entire circumference of the extremity. The authors emphasize the importance of correct indication for replantation, the shortening of both ends of the bones and early extensive fasciotomy performed in time. The apparatus used for external osteosynthesis was the POLDI type which proved very useful and met all requirements for stable fixation during replantation of extremities. Key words: replantation, external osteosynthesis.