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Defektdeckung durch lokoregionäre Lappenplastiken an der Hand

Locoregional soft tissue coverage for defects in the hand

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Zusammenfassung

Weichteilverletzungen der Hand mit freiliegenden Sehnen, Knochen oder Gelenken stellen bezüglich der Defektdeckung immer wieder eine rekonstruktive Herausforderung dar. Eine Vielzahl hoch differenzierter intrinsischer Lappenplastiken bietet nach Verletzungen an der Hand mit Weichteildefekten ausgezeichnete Möglichkeiten der lokoregionären Defektdeckung, um funktionell und ästhetisch ansprechende Ergebnisse zu erzielen. Profunde anatomische Kenntnisse der Lappenplastiken und mikrochirurgische Präparationstechniken sind dabei der Schlüssel zum Erfolg.

Dieser Artikel gibt, aus der Erfahrung von über 100 derartiger Lappenplastiken in 4 Jahren, einen Überblick über die Hauptgruppen dieser Lappenplastiken, die Indikationsstellung und illustrative Beispiele für ihren klinischen Einsatz.

Abstract

Soft tissue defects in the hand with exposed tendons, bones, or joints present difficult reconstructive challenges. A wide variety of highly sophisticated intrinsic flaps offer a wide range of therapeutic options of locoregional soft tissue coverage to achieve acceptable aesthetic and functional results. This article gives an overview of the various groups of flaps, indication, and their use in clinical situations based on the experience with more than 100 flaps over a 4-year period.

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Authors and Affiliations

  1. Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Klinik für Plastische und Hand-Chirurgie der Universität Heidelberg, Ludwig-Guttmann-Straße 13, 67071, Ludwigshafen, Deutschland

    K. Bröking &  G. Germann

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  1. K. Bröking
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  2. G. Germann
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Correspondence to G. Germann.

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Bröking, K., Germann, G. Defektdeckung durch lokoregionäre Lappenplastiken an der Hand. Chirurg 78, 300–307 (2007). https://doi.org/10.1007/s00104-007-1309-5

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  • DOI: https://doi.org/10.1007/s00104-007-1309-5

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