Defektdeckung an den Fingern und am Daumen
Zusammenfassung
Durch die Exposition der Hände im Alltag sind Defektverletzungen häufig. Die Verletzungsschwere reicht von kleinen Fingerkuppen- bis hin zu großen Hautweichteildefekten mit freiliegenden Sehnen, Nerven und Gefäßen. Meist ist das Ausmaß der Verletzung erst nach dem sorgfältigen Débridement einzuschätzen. Dem Chirurgen steht eine große Zahl an Verfahren zur Defektdeckung zur Verfügung. Daher stellt es auch die eigentliche Herausforderung dar, aus diesen das sinnvollste Deckungsverfahren zu wählen, das mit dem kleinstmöglichen Hebedefekt einhergeht. Der vorliegende Beitrag stellt die diagnostische Herangehensweise bei Weichteildefekten an der Hand dar und zeigt Behandlungsstrategien auf.
Schlüsselwörter
Débridement Folienokklusivverbände Vollhauttransplantation Lappenplastik NachbehandlungDefect coverage of fingers and thumb
Abstract
Due to the exposure of the hands in the daily routine, defect wounds of the hand are common. The injury severity varies and ranges from small fingertip defects to large soft tissue lesions with exposed tendons, nerves and vessels. The complete extent of the soft tissue defect is often only recognizable after meticulous debridement. A considerable variety of techniques for defect coverage are available to the surgeon but the actual challenge is to select the most appropriate procedure which will result in the smallest possible residual defect. This review article presents the diagnostic approaches to soft tissue defects of the hand and current treatment options.
Keywords
Debridement Occlusive dressings Skin graft Flaps AftercareNotes
Einhaltung ethischer Richtlinien
Interessenkonflikt
F. Unglaub, M.F. Langer, J.M. Unglaub, L.P. Müller, P. Hahn, C.K. Spies und S. Löw geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
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