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Planovalgus foot deformity is one of the most common orthopedic conditions detected in childhood. According to the literature, it is present in 70% of children under 11 years with various degree of severity. Without timely correction, the common complications of this deformity are: arthrosis of the talonavicular joint, valgus deformity of the knee joints, impaired posture and functional scoliosis, pain syndrome, impaired function of the lower extremities, which is an indication for surgical treatment of this pathology. The article presents a clinical case report of surgical treatment of a patient with severe planovalgus foot deformity. The main stages of surgical correction were tendon-muscle plasty, subtalar arthroeresis and Cotton osteotomy (wedging osteotomy of the medial sphenoid bone). Relying on the results of surgical treatment of the patient, we conclude that the use of the combination of methods is valid for the treatment of patients with severe planovalgus foot deformity.

The authors report a clinical case concerning successful endovascular treatment for subacute thrombosis of crural and plantar arteries in a patient with the only leg, substantiating therapeutic decision making with due regard for the duration of thrombosis and localization of the lesion of the arterial bed. Taking into consideration the statistical data on survival in case of performing major amputation in this cohort of patients, an 'aggressive' endovascular approach including three vascularizations made it possible not only to preserve the leg but also to save the patient's life.

There were presented the anatomical substantiation, surgical technique of the flap mobilization, the methods for the flaps survival capacity enhancing, as well as the first experience of plasty, using fasciocutaneous flaps of the ankle on a distal nutrating pedicle with a double axial blood supply. The flaps were successfully used for the treatment of durably nonhealing wounds of the foot and the ankle in 23 patients.

The efficacy of the percutaneous transluminal balloon angioplasty in patients with critical ischemia of the lower limbs and diabetes mellitus was analyzed. The study included 102 patients with septic complications of the diabetic foot syndrome. The main group consisted of 37 patients, who received both the traditional conservative therapy and the endovascular angioplasty. The study proves that the endovascular interventions by diabetic foot syndrome are effective and justified. Revascularisation permits the minimal resectional interventions on the foot, stop the ischemia and minimize the number of repeated necrectomies and high amputations. The diabetic foot syndrome is represented as a multidisciplinary problem.

Clinical data of a single case of functional recovery and regeneration in pathologically altered foot tissue with extensive necrosis in during the course of therapy with the use of dietary supplement "Leiurus Arctica +" Clinical data indicates that the dietary supplement "Leiurus Arctica +" can be used as a wound healing agent.

Presented herein is a clinical case report of a male patient suffering from ischaemic gangrene of the foot on the background of an atherosclerotic-genesis multifocal occlusive-and-stenotic lesion of the major arteries of the lower extremities and undergoing programmed haemodialysis for terminal-stage chronic renal insufficiency. The patient was successively subjected to three-stage surgical management, with the first stage consisting of revascularization of the extremity involved by means of "in-situ" femoropopliteal auotovenous bypass grafting, the second comprised resection of the calcaneum with the removal of the osteomyelitis focus, and the third one was composed of dermatoautoplasty of the defect of the foot with a split cutaneous flap.

There were analyzed the results of surgical treatment of 246 patients, suffering diabetes mellitus, with destructive forms of the diabetic foot syndrome. It was established, that application of an active surgical tactic using cutaneo-adipose flap of their own and cellular culture of fibroblasts on the background of selective prolonged intraarterial complex therapy permits to perform economic amputation of foot, reduces risk of performance of high amputation of the lower extremity and reoperations.

Total retrospective clinical-social investigation of 2431 patients with pyo-necrotic complications of the diabetic foot syndrome (DFS) has revealed a considerably increased incidence of pyo-necrotic complications of DFS, mainly at the expense of patients with type II diabetes mellitus. Most of these patients (87.8%) are elderly and senile patients with a middle or severe degree of diabetes (98.2%) and signs of subcompensation or decompensation (87.2%). In 98.0% of the patients there were coexisting diseases. 87.9% of the patients were urgently admitted to hospital with acute pyo-inflammatory processes. A comparison of the results has shown that treatment and interdisciplinary observation in specialized institutions allowed to reduce lethality and number of high amputations more than two times.

The first experience of performance of plasty for nonhealing wounds and ulcers of foot and shin, based on grafting of the surrounding skin on the defect region, using stimulating atraumatical adhesive dermotension independently and in combination with cryotherapy, was presented. The methods proposed were applied in 21 patients for restoration of bearing and other tissues of foot and shin, when defect was up to 110 cm2, since 1996. Positive result of treatment was noted.

The experience of plastic closure of purulent wounds in the foot of 55 patients is presented. The average area of wounds was 61 cm2. Treatment of defects of plantar surface was most difficult. The differential policy in plastic surgery of foot wounds was developed. Complete closure of the defect was achieved in 81% patients. The most promising method of plastic closure is dosed tissue expanding.

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.

An analysis of long-term results of microsurgical plasty of defects of the plantar surface of the foot of different genesis is presented. 64 microsurgical flaps were transplanted. The main long-term complication of the method is the formation of rubs and trophic ulcers in 37% of patients after the restoration of support on the transplanted flap. Causes of the complications in question were established and methods of surgical treatment are proposed.

The author presents an original conceptual scheme of the complex medical rehabilitation of patients with RA on the basis of the conservative and surgical treatment of RA (3,000 cases). Successful results were attained in 70% of cases (follow-up of 5 years).

Based on clinical observations of pyo-necrotic lesions of the foot in patients with diabetic mellitus and on an analysis of their personal operations performed on these patients the authors support the tendency to local necrotomies. Two original operations are proposed: ablation of the great toe with a preliminary transection of the tendon of the long flexor and radical operation of the deep phlegmon of the foot with the dissection of plantar aponeurosis and short flexors of the toes. These methods allow the general amount of amputations and lethality to be decreased.

The authors have thoroughly studied the versions of anatomic structure, peculiarities of blood circulation and innervation of lateral arm graft at 20 recent cadavers. The graft can be utilized in different modifications; cutaneofascial, subcutaneofascial, musculocutaneous, osteocutaneous. In the clinic were made 8 free microsurgic transplantations of lateral arm graft for plasty of tissues of different genesis in functionally important zones of hand and foot. In long-term post-operative period all patients demonstrated good functional and cosmetic results.

The author has performed 18 operations for correction of short amputation stumps after burst injury. Effective results were obtained in 12 patients. In patients with abruption of the anterior part of the foot operations after A. V. Rozhkov and V. A. Kudryavtsev are recommended.

The article analyzes the treatment of 45 patients with a gangrene stage of obliterating endarteritis subjected to small amputations in combination with free skin autoplasty. The amputation and skin plasty were preceded by intensive therapy both before operation and in the postoperative period, HBO included. A method of HBO therapy by changing barometric pressure under conditions of hyperbaric oxygenation is described. The patients were also subjected to sympathectomy and continuous intraarterial infusions.

An analysis of literature data, topographo-anatomical studies of 23 lower extremities and an experience with using 18 island fasciocutaneous flaps of the lower leg are presented. The article describes the possibilities of using a new donor area for plasty of limited defects of the lower leg and foot after various traumas and their sequelae.

Main practical directions in rehabilitation of feet after microsurgical transplantations of different transplants from feet to hands are described. Four main groups of operations with different specific features of rehabilitation of feet both during operation and in the postoperative period were distinguished on the basis of an experience with the treatment of 46 patients.

The article gives an analysis of results of transplantation of 62 free composite flaps for closing defects of foot soft tissues in 48 patients. Positive results were obtained in 77.4% of the cases. The taking of free composite flaps on the foot greatly depends on the state of the recipient vessels and availability of the pathogenic microflora in the wound. To lean upon the foot was permitted as late as 7-9 months after operation, i.e. after the recovery of surface sensitivity.