Methods 36 cases with st rangulated destructive injury of the upper limb were treated with the folloving procedures : ( 1 ) shorteni ng of upper limb ( 12 cases ) . ( 2 ) recons truction of the thumb ( 3 cases ) and fingers ( 3 cases ) by transfer of the preserved fingers . ( 3 ) repair o f forearm and wrist tissue defect by free composite tissue flap transfer ( 9 cases ) . ( 4 ) secondary n erve and tendon repair following pedicled skin flap or fascial flap 方法对36例上肢不同平面绞轧性毁损患者采用下述方法： ( 1 )肢体短缩修复上肢12例； ( 2 )残指移位再造拇指3例，再造手3例； ( 3 )游离复合组织瓣移植修复前臂及腕部软组织缺损9例； ( 4 )带蒂皮瓣、筋膜皮瓣修复手部创面，二期修复神经肌腱重建手功能9例。
