[Plastic microsurgery of the fingers defects]

The experience of plastic operations in small segmental defects of the hand with the use of "insular" Litteler's flap has been analysed. Long-term results are available for 10 patients. The difference of reception has been found in transplanted and recipient's finger. The patients feel the zone of the plasty like a donor finger. This causes problems with the operated hand movement coordination. In 23 cases the original method of microsurgical technique has been used to avoid this effect. The nerve was cut near the transplant edge and then sutured with the nerve of recipient finger. Functional results of the modified operations are more adequate to the demands of plastic region.