 The objective of this study was to improve the results of post-traumatic soft tissue defects and the consequences of damage to the neurovascular bundles of the upper limb. Methods included analysis of the results of various surgical interventions in 60 patients with soft tissue defects and Ktonbool. Causes of soft tissue defects and Ktonbool were severe Valkmans contracture, 24, complications of various wounds of the forearm and hand, 19, the consequences of damage to electric machines, 8, electrical injury, 5, and gunshot wounds, 4. Concomitant damage was noted to 52 arteries, intersection 32 and compression of 16 nerve trunks, the area of defects varied from 80 square centimeters to 95.47 square centimeters. An important criterion in the treatment of this category of patients is the determination of the stages of the operation. Depending on the duration of the injury and the nature of the damage, as well as the functional significance of the hand, in some cases skin and facial, 33, were used, in. This article was authored by G.D. Kareemzade, M.K.H. Malikov, E.K. Abrajimov, and others. We are article.tv, links in the description below.