[Orthoplastic Surgery within the Statutory Accident Insurance System].

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Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... Pub Date : 2025-12-01 Epub Date: 2025-11-17 DOI:10.1055/a-2721-8891

Christian Miguel Balser, Christoph Hirche, Matthias Münzberg, Alexander Klug

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Abstract

Orthoplastic surgery is pivotal in managing occupational accidents under German statutory accident insurance. This review examines current standards in acute care, septic complications, and rehabilitation.Guidelines from the German Social Accident Insurance (Deutsche Gesetzliche Unfallversicherung, DGUV), certification requirements for trauma centres, and retrospective case series from accredited hospitals (2015-2024) were analysed.Modern treatment pathways incorporate plastic-reconstructive techniques in 78% of severely injured patients (SAV). Septic complications after polytrauma occur in 9-12% of cases, with single-stage revision surgeries achieving success in 82% of prosthetic infections. Interdisciplinary rehabilitation reduces average sick leave duration by 23%.Networking between acute care facilities, septic surgery units, and rehabilitation centres improves outcomes. Standardised quality metrics and telemedicine follow-up concepts require further research.

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【法定意外保险制度下的整形手术】。

在德国的法定事故保险下，整形手术是处理职业事故的关键。这篇综述探讨了目前在急性护理、脓毒性并发症和康复方面的标准。分析了德国社会意外保险（Deutsche Gesetzliche Unfallversicherung， DGUV）的指南、创伤中心的认证要求以及来自认证医院的回顾性病例系列（2015-2024）。现代治疗途径在78%的严重受伤患者（SAV）中采用了塑性重建技术。多发创伤后脓毒性并发症发生率为9-12%，单期翻修手术在82%的假体感染中获得成功。跨学科康复使平均病假时间减少23%。急性护理设施、化脓性手术单位和康复中心之间的联网改善了结果。标准化的质量指标和远程医疗后续概念需要进一步研究。

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Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...

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