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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.

While performing 152 reconstructive operations for obliterating lesions of large arteries of the lower extremities, the authors observed early acute thromboses of the graft in 12 patients (following operations on the femoropopliteal region and crural arteries). Of 12 patients 7 subjects were reoperated upon. In 6 cases indirect thrombectomy from the autovenous shunt or endarterectomized arterial segment by a baloon catheter proved to be quite feasible. The patients were discharged with adequate compensation of the extremity circulation. In one case there was obliteration of the shunt. In 5 patients treated conservatively for acute thrombosis of the graft a gangrene of the limb developed, and it had to be amputated.

The article presents results of using the human umbilical vein for plasty of lower extremity arteries. There were 44 operations on 43 patients. In 22 cases the prosthesis of the umbilical vein was used for the femoro-popliteal shunts and in 22 cases for femoro-femoral shunts. In 18 patients the shunts were potent within 6 years of the followup observation which demonstrates good prospects of using the human umbilical vein in reconstructive surgery of the vessels of small and medium diameter.

Applications of optic systems and microsurgical technic enables one to perform reconstructive operations on arteries of small calibre - 1.5--1,8 mm (crural arteries). Clinically, 42 reconstructive operations (autovenous bypass shunting) were performed on crural arteries in 42 patients. After the surgical intervention the immediate positive effect with patency of the shunt and shunted artery was noted in 24 patients. In 18 patients thrombosis of the shunt developed in early postoperative terms.