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

{"title":"[Development and Testing of a Miniaturised Arthroscope for Use in Outpatient Wrist Arthroscopy].","authors":"Vincent Hiller, Elisabeth Maria Haas-Lützenberger, Nicholas Möllhoff, Wolfram Demmer, Sinan Mert, Riccardo Giunta","doi":"10.1055/a-2681-8732","DOIUrl":"10.1055/a-2681-8732","url":null,"abstract":"<p><p>Wrist arthroscopy is an established procedure for the diagnosis and treatment of wrist pathologies. It is routinely performed in the operating room under wrist distraction. An arthroscope with the smallest possible diameter could enable diagnostic \"in-office\" arthroscopy in outpatient clinics without a need for distraction on a horizontally positioned hand. Our goal was to develop such an arthroscope in collaboration with Polydiagnost GmbH (P) and to test and compare it with existing arthroscopy systems from Karl Storz SE & Co. KG (KS) and Arthrex GmbH (A).The prototype of a newly developed miniature arthroscope with an overall diameter of 1.3 mm was tested on twelve fresh-frozen wrist specimens by an experienced hand surgeon in a randomised manner. It was compared with the A \"Nanoneedle Scope\", which has a 2.4 mm arthroscope shaft, and a KS arthroscopy system with a 2.5 mm shaft. Standardised diagnostic tours were performed and recorded. The systems were evaluated and compared based on the following parameters: preparation of working portals, duration of arthroscopy, handling and manoeuvrability, diagnostic assessment of structures, and suitability for diagnostic and therapeutic arthroscopy.The results showed that the newly developed prototype was rated significantly higher than the KS system in terms of handling, ergonomics, operability, and navigability. No significant differences were observed in the duration of portal preparation or diagnostic view. The image quality of the prototype, and thus its suitability for diagnostic and therapeutic arthroscopy, was still found to be inferior compared to the arthroscopy systems from KS and A.The feasibility of distraction-free arthroscopy using a miniaturised arthroscope with satisfactory imaging results was successfully demonstrated. The newly developed prototype showed superior handling compared with established systems but was still inferior in image quality. With improvements in image quality, the prototype could eventually be adopted for clinical use. A reduction in procedure time through portal preparation could not be conclusively demonstrated. The use of smaller arthroscopy systems could potentially shorten the duration of arthroscopy and minimise side-effects.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"83-91"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Impact of Total Wrist Arthrodesis on Occupational Ability].","authors":"Careen Knie, Jörg van Schoonhoven","doi":"10.1055/a-2793-3708","DOIUrl":"10.1055/a-2793-3708","url":null,"abstract":"<p><p>Total wrist arthrodesis is a well-established salvage procedure, but it results in the loss of wrist mobility. It is indicated in cases of painful, advanced osteoarthritis of both the radiocarpal and midcarpal joints (panarthrosis of the wrist) after all conservative treatment options have failed. The same indication applies to total wrist arthroplasty, which has gained increasing popularity due to the advantage of preserving wrist motion. However, total wrist arthroplasty is generally not indicated for younger patients engaged in heavy manual labor. One aim of our study was to investigate the impact of total wrist arthrodesis on patients' occupational abilities.A total of 71 wrists in 68 patients were retrospectively evaluated at a mean follow-up time of 11.7 years (range: 10-16 years). In addition to assessing long-term functional outcomes, identifying potential causes of persistent pain and applying multiple Patient-Reported Outcome Measures (PROMs), data on pre- and postoperative professional activities were collected and analyzed.Preoperatively, a large proportion of patients (83%) were in manual labor. Of these, 32 individuals (46%) performed heavy physical work, whereas only 10 patients (14%) were employed in office-based roles. Following surgery, 12 patients (17%) had to change their profession, and the same number had to retire from work. Within the group of manual workers, further subgroups were formed based on occupational load (return to work: heavy labor 22/32, moderate 12/21, light 6/6). Regarding occupational capacity, nearly half of the patients (n=35) reported work-related impairments. Only 13 patients described their work ability as fully restored.Even in cases of uneventful healing after total wrist arthrodesis, a return to the original occupation cannot be guaranteed. Male patients engaged in physically demanding manual labor appear to have an increased risk of developing posttraumatic panarthrosis of the wrist and consequently require surgical fusion. The high level of patient satisfaction observed in our study, especially considering the results measured with Patient-Reported Outcome Measures (PROMs), demonstrates that total wrist arthrodesis remains the gold standard for treating unilateral, painful panarthrosis of the wrist.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"58 1","pages":"73-82"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Metacarpophalangeal Joint Arthroplasty: Therapeutic Value].","authors":"Martin Lautenbach, Arne Tenbrock","doi":"10.1055/a-2799-4534","DOIUrl":"10.1055/a-2799-4534","url":null,"abstract":"<p><p>Pain and limited range of motion of the metacarpophalangeal joints lead to a significant loss of function in the affected finger as well as the entire hand. This is particularly relevant in cases of rheumatic joint destruction but also in the rarer instances of osteoarthritis of the metacarpophalangeal joints. To restore joint function, numerous arthroplasties made of different materials have been developed to enable an alloplastic replacement of these joints. However, mostly due to a high rate of complications, the majority of these prostheses were soon withdrawn from the market.In the long term, the silicone implant in its different designs is established as the reference standard for metacarpophalangeal joint replacement. The further development of new endoprostheses should therefore aim to achieve a greater longevity combined with improved functionality. The outcomes achievable with silicone implants remain the key benchmark. Good function and pain reduction after implantation can usually be achieved. Moreover, the success of metacarpophalangeal joint endoprosthetics depends significantly on precise surgical technique and on intensive, individualized postoperative rehabilitation.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"58 1","pages":"36-47"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Implant Arthroplasty of the Wrist Joint - History, Prevalence, Complications and Results of Wrist Implant Arthroplasty].","authors":"Patrick Stefan Harenberg, Samuel M Christen, Christoph Wallner, Markus Lehnhardt, Yonca Steubing","doi":"10.1055/a-2793-3639","DOIUrl":"10.1055/a-2793-3639","url":null,"abstract":"<p><p>Wrist implant arthroplasty represents a function-preserving alternative to joint arthrodesis in cases of advanced arthritis, osteonecrosis, and rheumatoid arthritis. Although fourth-generation implants have been available in Germany since the early 2000s, they still remain in limited use among hand surgeons in Germany.Using a combined approach, we performed a narrative review of the literature on the development of wrist implant arthroplasty, associated complications, and implant models. Additionally, an online survey was conducted to assess the current practice of wrist implant arthroplasty in Germany, supplemented by the results of a prospective data collection from our own patients with wrist prostheses. Subjective hand function and symptoms were evaluated using the DASH and PRHWE scores. Grip strength was measured, and the range of motion was assessed according to the neutral-zero-method. Complications and special cases were documented.Of the surveyed hand surgeons, 38% reported implanting wrist prostheses. The implantation of prostheses was primarily performed in older patients (>40 years) with rheumatoid arthritis, advanced post-traumatic and idiopathic arthritis, and osteonecrosis. During the study period from December 2022 to August 2025, 52 implanted MOTEC^® prostheses with a follow-up period of at least one year were recorded. There was a significant improvement in hand function, a reduction in load-dependent pain, and an improvement in mobility (extension/flexion, radial/ulnar deviation). In addition, a trend towards improved grip strength was noted, although statistical significance has not yet been reached. A total of 14 complications were observed, most of which were mechanically induced and partly infectious, and could be resolved through surgical revision.In summary, satisfactory functional results can be achieved with the implantation of wrist prostheses even in patients with high functional demands, such as younger and manually active individuals. However, the procedure is associated with a relatively steep learning curve and an increased complication rate, particularly in the context of the first prosthesis implantations.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"58 1","pages":"60-69"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CMC1 Joint Arthroplasty: Pearls and Pitfalls, Revisions, Problems and Solutions.","authors":"Joris Duerinckx","doi":"10.1055/a-2760-7495","DOIUrl":"10.1055/a-2760-7495","url":null,"abstract":"<p><p>The replacement of a painful thumb carpometacarpal joint with a ball-and-socket prosthesis was introduced over 50 years ago. Continuous improvements in implant design and a surgical technique have made it a successful procedure. However, complications remain possible. This review discusses key aspects for optimising indications, surgical techniques, and treatment outcomes, as well as the management of complications when they occur. Options for revision surgery are also explored. Total arthroplasty of the thumb carpometacarpal joint represents a valuable treatment option. Knowledge of correct indications, surgical techniques, potential pitfalls, and alternative treatments is essential.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"9-16"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146196365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Endoprosthetics in Revision Surgeries on the Thumb Carpometacarpal Joint: Pearls and Pitfalls, Off-label Use, and Alternatives].","authors":"Victoria Struckmann, Thomas Krohn, Benjamin Panzram","doi":"10.1055/a-2786-5903","DOIUrl":"10.1055/a-2786-5903","url":null,"abstract":"<p><p>Trapeziometacarpal (TMC) joint arthroplasty has become an established and effective treatment option for advanced trapeziometacarpal osteoarthritis. Prosthetic replacement can also be employed in revision procedures following failed surgeries involving the trapezium or the base of the first metacarpal. Revision arthroplasty is technically demanding, as altered anatomical conditions, scar tissue, and compromised bone quality may complicate implantation. Patients and Surgical Techniques Based on specific cases, we present indications and techniques for revision arthroplasty of the TMC joint, including prosthesis implantation after malunited Bennett or Rolando fractures, persistent TMC joint dislocation, proximal migration of the first ray following trapeziectomy with scaphometacarpal implantation of the endoprosthesis, as well as procedures addressing osseous defects of the trapezium after previous prosthesis implantation.In five patients with post-traumatic osteoarthritis, implantation of a TMC endoprosthesis resulted in pain relief and functional restoration. Twelve patients treated with scaphometacarpal implantation after trapeziectomy consistently achieved sufficient pain reduction and recovery of hand function; overall patient satisfaction was high. In one additional case, the trapezium was reconstructed using a tricortical iliac crest graft, enabling reimplantation of the prosthetic cup. No major short-term complications were observed.In our cohort, TMC joint arthroplasty proved to be an effective revision option not only for post-traumatic conditions but also for proximal migration of the first ray following trapeziectomy. Success depends on adapting the procedure to the specific anatomical and biomechanical conditions of the previously operated joint. Surgeons should have solid experience with primary TMC arthroplasty before attempting revision cases. Further clinical studies are required to compare prosthesis implantation with established salvage procedures such as trapeziectomy or arthrodesis.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"58 1","pages":"17-27"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Distal Radioulnar Joint Arthroplasty: Historical Milestones and Current Implant Concepts].","authors":"Lukas Viktor Dirschedl, Jörg van Schoonhoven","doi":"10.1055/a-2808-4127","DOIUrl":"10.1055/a-2808-4127","url":null,"abstract":"<p><p>Although distal radioulnar joint (DRUJ) arthroplasty is supported by more than five decades of clinical experience and modern implants have demonstrated reliable short- and long-term outcomes both in the management of DRUJ arthritis and in the restoration of stability in cases of painful instability following ulnar resection procedures, its clinical adoption remains limited compared with other types of joint replacement. This narrative review summarizes the historical development and biomechanical principles of DRUJ arthroplasty and compares current endoprosthetic concepts - ranging from partial surface replacements and ulnar head prostheses to semi-constrained and non-constrained total joint replacements - with respect to their advantages, limitations, and reported clinical outcomes. Finally, a practical decision-making algorithm is proposed to assist in selecting the most appropriate implant for patients with DRUJ arthritis or painful ulnar impingement.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"58 1","pages":"48-59"},"PeriodicalIF":0.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Comparing Outcomes of Primary vs. Secondary Admission to a Level 1 Trauma Centre in the Management of Gustilo-Anderson≥Type IIIB Fractures: A Systematic Review].","authors":"Oliver Ritthaler, Cosima Prahm, Claas Güthoff, Katrin Wulfert, Martin Aman, Leila Harhaus-Wähner","doi":"10.1055/a-2653-5893","DOIUrl":"10.1055/a-2653-5893","url":null,"abstract":"<p><p>The management of open fractures with extensive soft tissue defects presents a significant challenge to healthcare systems. A key factor for a successful and efficient treatment is the early implementation of an interdisciplinary approach involving both trauma and plastic surgery - commonly referred to as the \"orthoplastic approach\". This systematic review aims to compare treatment outcomes between patients who were either directly transferred (primary transfer) from the scene of injury to a level 1 trauma centre and those who initially received care at a lower-level hospital and were subsequently transferred (secondary transfer) to a level 1 trauma centre.This systematic review was conducted in accordance with the PRISMA guidelines. A comprehensive literature search was performed in the MEDLINE database. Fourteen studies were included in the final analysis. Patients were categorized into a primary transfer group (PRI) or a secondary transfer group (SEK) for the analysis. Outcomes assessed included transfer time, length of hospital stay, time to initial surgical intervention, timing of definitive bony fixation and soft tissue reconstruction, total number of surgical procedures, reconstruction techniques and their associated complications, as well as rates of non-union and infection.A total of 14 studies comprising 5294 patients were included. Of the reported fractures, 88.6% were classified as Gustilo-Anderson type IIIB or higher. The median length of hospital stay was shorter in the primary transfer group (26.6 days) compared to the secondary transfer group (35.2 days). In the secondary group, delays were observed in time to initial surgical intervention, definitive bony fixation, and final soft tissue reconstruction. The median number of surgical procedures and osteomyelitis was lower in the primary transfer group.Delayed secondary transfer to a level 1 trauma centre may be associated with relevant disadvantages for patients. In addition to timing, early formulation of a reconstructive treatment plan by an interdisciplinary and specialized team is a decisive factor. This may reduce the total number of required interventions and improve functional outcomes. The goal should be the primary implementation of the orthoplastic treatment approach, for which specialized trauma centres offer the best conditions.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":" ","pages":"436-448"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The Role of Topical Negative Pressure Therapy/Vacuum Therapy in Orthoplastic Surgery: NPWT, NPWTi-d and ciNPT].","authors":"Simon M Kratzer, Luca Kümmerl, Andreas Arkudas, Raymund E Horch","doi":"10.1055/a-2706-0291","DOIUrl":"https://doi.org/10.1055/a-2706-0291","url":null,"abstract":"<p><p>Today, wounds of the extremities are often initially treated with localised negative pressure therapy (vacuum therapy) before bone and soft tissue reconstruction is performed. The aim is to preserve the limb and restore function and quality of life. The interdisciplinary collaboration in the treatment of neurovascular pathologies, reconstruction, and rehabilitation is known as orthoplastic reconstruction.This paper outlines the milestones that have led to the development of the orthoplastic concept in limb reconstruction. In addition, the fundamental principles of modern treatment strategies, including wound bed conditioning with vacuum therapy, are discussed on the basis of relevant literature and illustrated with representative examples.A review of the literature shows that orthoplastic surgery developed at different times in different countries. It was only with the advent of modern techniques for skeletal stabilisation and soft tissue reconstruction that interdisciplinary concepts, including topical vacuum therapy, found their way into everyday clinical practice. Advantages of the orthoplastic approach include faster stabilisation, early soft tissue coverage, shorter hospitalisation times, reduced complication rates, and better long-term functional outcomes.Today, localised negative pressure therapy is an indispensable tool in the orthoplastic approach. Close collaboration between plastic-reconstructive and trauma-orthopaedic surgery is essential for the timely management of reconstructive limb injuries. This approach has proven effective at specialised centres in determining the optimal time for reconstruction and improving outcomes. The earlier assumption that amputation is often more favourable has been refuted by successful orthoplastic reconstructions achieving long-term limb preservation. Today, the aim is to preserve the limb whenever possible.</p>","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"57 6","pages":"455-464"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Correction: Telemedical extremity boards and quality assessment of guidelines for orthoplastic surgery of open fractures of the extremities].","authors":"David Ernesto Kampshoff, Masih Kameh Khosh, Jana Roßlenbroich, Michael J Raschke, Tobias Hirsch, Steffen Roßlenbroich","doi":"10.1055/a-2744-1908","DOIUrl":"https://doi.org/10.1055/a-2744-1908","url":null,"abstract":"","PeriodicalId":520635,"journal":{"name":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","volume":"57 6","pages":"e2"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}