[Organization of microsurgery in France: application of microsurgery in orthopedics]

Microsurgery in France is organized in a relatively large number of centers. More centers would compromise the results achieved especially in replantation. Teaching and training is given in specialised courses and at universities. Indications for microsurgery in orthopaedics and traumatology are widespread. Large replantations may give excellent results but frequent complications have to be kept in mind, which sometimes are live-threatening. Free or composite grafts of skin, toe, muscles, bone and joints with neurovascular peduncle may be taken into consideration.