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Defektrekonstruktionen an der Hand

Reconstruction of defects on the hand

Zusammenfassung

Aus rekonstruktiver Sicht stellen Handverletzungen besondere Herausforderungen dar, da sie oft mit freiliegenden Sehnen, Knochen und Leitungsstrukturen einhergehen und da an der Hand nur wenige Haut-Weichteil-Reserven zur Deckung vorhanden sind. Funktionelle und ästhetische Gesichtspunkte verlangen, je nach Lokalisation und Defektausmaß, ein differenziertes Vorgehen. Der vorliegende Beitrag gibt einen Überblick über Rekonstruktionstechniken und Lappenplastiken an der Hand für verschiedene Defektgrößen und Defektlokalisationen.

Abstract

From a reconstructive viewpoint, injuries of the hand are particularly challenging. They are often associated with exposed tendons, bones, nerves and vessels, whereas little skin and soft tissue reserves are available for coverage. Functional and esthetic requirements necessitate a differentiated approach, depending on the location and extent of the defect. This article gives an overview of reconstruction techniques and flap surgery on the hand for various defect sizes and locations.

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Correspondence to Mathias Witt M.A..

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Interessenkonflikt

M. Witt und M.A. Altintas geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Witt, M., Altintas, M.A. Defektrekonstruktionen an der Hand. Unfallchirurg 124, 789–796 (2021). https://doi.org/10.1007/s00113-021-01077-5

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Schlüsselwörter

  • Handchirurgie
  • Rekonstruktive Chirurgie
  • Weichteildefekte
  • Chirurgische Lappenplastiken
  • Wiederherstellung der Funktion

Keywords

  • Hand surgery
  • Reconstructive surgery
  • Soft tissue defects
  • Surgical flaps
  • Recovery of function