GRADED TISSUE STRAIN IN PURULENT SURGERY

To close extensive infected wounds and to replace long bone defects, a long with other methods a method of graded tissue strain (GTS) has bee n developed and introduced into practice (246 patients). The method di ffers from all others in that it requires no transfer of elaborate fla ps while replacing soft tissue defects; and no graft or foreign body i s introduced externally into the wound in replacing long bone defect. Soft tissue defect is gradually replaced by wound-adjacent intrinsic t issues, the wound is closed by related skin, and bone defect is filled by an osseous regenerate which is formed during graded transposition of the osteotomized fragment. At the same time good blood supply and t issue innervation retain, which contributes to their resistance to pur ulent infection. The analysis of the findings has led to the conclusio n that GTS is an indispensible contribution to the development of plas tic purulent surgery allowing the anatomic and functional integrity of the diseased segment to be restored.