Objective. To generalize own experience of the use of autografts for correction of post-traumatic defects of integumentary tissues of the upper extremities. Material and methods. There were 52 patients with post-traumatic defects of the upper limbs who underwent transplantation of 49 vascularized and 3 avascular grafts. All patients were divided into 2 groups depending on the cause of injury. Group I consisted of 24 patients with integumentary tissue defects as a result of injury from electric machines, sharp cutting objects and gunshot wounds (mean area of defects was 48.75—80 cm2). Group II consisted of 28 patients with consequences of Volkmann’s ischemic contracture (mean area of defects 95.47 cm2). In group I, skin reconstruction was followed by subsequent repair of underlying neurovascular bundles and tendons. Fascial-cutaneous (18), musculocutaneous (3) and skin (3) grafts were used with subsequent reconstruction of damaged vascular and neural structures and tendons. In the second group (28), we used transplants of the latissimus dorsi muscle (25) and gracilis muscle (3) for repair of integumentary tissues and restoration of capture function. Results. Engraftment of the transplants (91.9%), vascular function (85%) and restoration of motor and sensory function of the hand (grade S3, M4) were observed. Conclusion. Correction of soft tissue defects and consequences of injuries of neurovascular bundles is a difficult task of reconstructive microsurgery. Stages of repair depend on terms and cause of injury, as well as condition of integumentary tissues in the area of damage.

Keywords. upper limb trauma, integumentary tissue defects, flaps, neurovascular bundles