The authors analyse their clinical experience of treating 5 patients with immobilization of the hand and propose to use complex and composite vascularized grafts for the plasty of extensive defects of tendons and skin of the forearm. They consider microvascular grafting of skin flaps from the back of the foot with tendons from the extensors of the toes with their own paratenon to be an excellent material for the reconstruction of the tendons of the flexors. They advise to use the vascularized broad fascia of the hip incorporated into the lateral flap from the hip for the plasty of extensive defects of the tendons of the extensors. The authors point out that the indications for using a combined graft from the back of the foot carrying vascularized tendons require further elaboration.