Zusammenfassung
In der Orthopädie und Unfallchirurgie stellen Weichteildefekte bei Infektgeschehen hohe Anforderungen an die versorgende Klinik. Komorbidität und z. T. lange Heilverläufe setzen viel Geduld bei Arzt und Patient voraus. Die zur Rekonstruktion von Geweben und Funktion eingesetzten Operationsverfahren sind aufwändig und bedürfen ausreichender personeller und materieller Ressourcen. Immer ist die individuelle Situation des Patienten für die Therapie ausschlaggebend. Amputationen sind nicht in jedem Fall vermeidbar, sondern stellen manchmal sogar die einzig sinnvolle Behandlungsmöglichkeit dar. Vorgestellt werden Verfahren aus der plastischen Chirurgie, mit welchen der Weichteilmantel und auch die Funktion an der unteren Extremität wiederhergestellt werden können.
Abstract
The treatment of soft tissue lesions and infection in orthopaedic and trauma patients represents a significant challenge for the treating clinic. Physicians and patients are confronted with comorbidity and often prolonged treatment. Personnel and material requirements are high in reconstructive surgery. Therapeutic options need to be individualized. Amputations are not always avoidable and sometimes represent the only viable treatment option. Plastic surgery procedures to reconstruct soft tissue coverage and function are presented here.
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Schmidt, R., Steen, M. Weichteildeckung bei Infektgeschehen an der unteren Extremität. Trauma Berufskrankh 13 (Suppl 1), 25–29 (2011). https://doi.org/10.1007/s10039-010-1677-9
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DOI: https://doi.org/10.1007/s10039-010-1677-9