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_第8页

Arteriovenous loops, vascular bypasses, and inflow augmentation: Enhancing limb salvage through collaboration and microsurgical creativity. 动静脉袢、血管旁路和血流增强：通过协作和显微外科创新增强肢体挽救。

IF 0.6

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: 2025-09-29 DOI: 10.1055/a-2650-2416

Max Silverstein, Arash Momeni

{"title":"Arteriovenous loops, vascular bypasses, and inflow augmentation: Enhancing limb salvage through collaboration and microsurgical creativity.","authors":"Max Silverstein, Arash Momeni","doi":"10.1055/a-2650-2416","DOIUrl":"10.1055/a-2650-2416","url":null,"abstract":"Limb-threatening extremity defects resulting from high-energy trauma, chronic ischemia, infection, or oncologic resection are frequently associated with a \"zone of injury\" devoid of suitable recipient vessels, thereby precluding conventional free tissue transfer reconstruction. In this review article, we summarize five decades of technical development and clinical evidence on advanced microsurgical strategies - such as arteriovenous (AV) loops, vascular bypasses, and nutrient flaps - aimed at restoring vascular continuity and enabling durable soft tissue coverage when local anastomosis is precluded. Regardless of the technique employed, meticulous microsurgical execution, thoughtful staging, and interdisciplinary collaboration among plastic, orthopedic, and vascular surgeons are critical to achieving optimal outcomes. Collectively, these strategies provide a versatile, evidence-based armamentarium that enables reconstructive surgeons to preserve limb length, secure durable soft tissue coverage, and restore meaningful function to extremities once considered unsalvageable.","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":"449-454"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145194389","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}

引用次数: 0

[Functional Extremity Reconstruction: Just a Modern Term or Reconstruction 2.0?] 功能性肢体重建：只是一个现代术语还是重建2.0？］

IF 0.6

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: 2025-12-11 DOI: 10.1055/a-2697-9116

Albrecht Heine-Geldern, Raffaela Faulhaber, Alexander Hach, Sebastian P Nischwitz, Christoph Hirche

{"title":"[Functional Extremity Reconstruction: Just a Modern Term or Reconstruction 2.0?]","authors":"Albrecht Heine-Geldern, Raffaela Faulhaber, Alexander Hach, Sebastian P Nischwitz, Christoph Hirche","doi":"10.1055/a-2697-9116","DOIUrl":"10.1055/a-2697-9116","url":null,"abstract":"Orthoplastic surgery is increasingly establishing itself as an essential interdisciplinary approach in the treatment of complex limb reconstructions. Since the beginning of the first collaboration between orthopedics and reconstructive plastic surgeons initiated by Sir H. Gillies and colleagues through to modern limb transplants, numerous new techniques have been developed over the past six decades, focusing on functional limb reconstruction. In modern orthoplastic surgery, it is no longer sufficient to simply close a defect without addressing all tissues and their functions. This includes not only the reconstruction of the skin and subcutaneous envelope, but also of bone, functional muscle units, nerves, blood vessels, including the lymphatic system, together potentially laying the foundation for a modern \"reconstruction 2.0\" paradigm. A key element in this context is an early case presentation in interdisciplinary board meetings, in which treatment plans are established that respect the basic principles of both disciplines and address functional endpoints such as pain relief, infection control, mobility, and professional reintegration. However, there is still no international definition of the term \"functionality\". The aim of this review is to evaluate individual techniques and concepts of modern microsurgery and plastic surgery in the context of orthoplastic limb reconstruction as a whole and, based on the literature and our own clinical experience, to translate this into a potentially applicable overall concept.","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":"465-476"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746553","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}

引用次数: 0

[Telemedical extremity boards and quality assessment of guidelines for orthoplastic surgery of open fractures of the extremities]. [远程医疗肢体委员会和开放性肢体骨折矫形手术指南质量评估]。

IF 0.6

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: 2025-10-21 DOI: 10.1055/a-2696-3479

David Ernesto Kampshoff, Masih Kameh Khosh, Jana Roßlenbroich, Michael J Raschke, Tobias Hirsch, Steffen Roßlenbroich

{"title":"[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-2696-3479","DOIUrl":"10.1055/a-2696-3479","url":null,"abstract":"Open fractures of the lower extremities are an interdisciplinary challenge that demands not only expertise in trauma and plastic-reconstructive surgery, but also specialised knowledge in vascular surgery, infectious diseases, radiology, and microbiology. However, despite the high morbidity and substantial healthcare costs, there are currently no established interdisciplinary guidelines for managing these injuries in Germany.This review discusses important aspects of orthoplastic treatment strategies and explores the role of telemedical extremity boards in optimising these treatment processes, as demonstrated by the EXPERT innovation fund project at Münster University Hospital. Furthermore, the quality of existing international guidelines is assessed using the British Orthopaedic Association Standard for Trauma (BOAST) (4 guidelines) as an example.With ongoing hospital reforms and the shift toward centralised specialized services, cross-sector digital care models are gaining importance. Establishing interdisciplinary standards, guidelines, and structured communication through telemedicine is key to maintaining the highest quality of care for open fractures and in mitigating the loss of expertise in peripheral regions.","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":"408-417"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350859","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}

引用次数: 0

[Orthoplastic Knee Surgery: Interdisciplinary Treatment of Soft Tissue Defects in Knee Arthroplasty]. 膝关节整形外科：膝关节置换术中软组织缺损的跨学科治疗。

IF 0.6

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: 2025-12-11 DOI: 10.1055/a-2717-6118

Verena Alt, Sinan Mert, Benedikt Fuchs, Nicholas Möllhoff, Felix H Vollbach, Dominic Simon, Boris Holzapfel, Riccardo Giunta, Nikolaus Wachtel

{"title":"[Orthoplastic Knee Surgery: Interdisciplinary Treatment of Soft Tissue Defects in Knee Arthroplasty].","authors":"Verena Alt, Sinan Mert, Benedikt Fuchs, Nicholas Möllhoff, Felix H Vollbach, Dominic Simon, Boris Holzapfel, Riccardo Giunta, Nikolaus Wachtel","doi":"10.1055/a-2717-6118","DOIUrl":"https://doi.org/10.1055/a-2717-6118","url":null,"abstract":"Complications following total knee arthroplasty (TKA) frequently require multiple revision surgeries and prolonged hospital stays. In this context, an interdisciplinary treatment strategy-particularly involving plastic surgery-is crucial for managing both existing and anticipated soft tissue defects to ensure optimal postoperative outcomes. Despite the clinical relevance, a notable lack of standardised, evidence-based guidelines remains for the management of such defects after knee arthroplasty. This review proposes a structured treatment algorithm to guide interdisciplinary orthoplastic management of complicated knee arthroplasties. Timely and close collaboration across disciplines is essential-not only from a functional and infectious disease perspective but also in terms of socioeconomic implications. Furthermore, patients should be referred early to interdisciplinary extremity boards and treated in specialised tertiary care centres equipped with the required expertise and infrastructure.","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":"425-435"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746524","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}

引用次数: 0

[Orthoplastic surgery - multidisciplinary approach as the key to successful limb reconstruction]. 矫形外科-多学科方法是肢体重建成功的关键。

IF 0.6

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: 2025-10-07 DOI: 10.1055/a-2683-3888

Riccardo E Giunta, Christoph Hirche

引用次数: 0

[Orthoplastic Surgery within the Statutory Accident Insurance System]. 【法定意外保险制度下的整形手术】。

IF 0.6

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

{"title":"[Orthoplastic Surgery within the Statutory Accident Insurance System].","authors":"Christian Miguel Balser, Christoph Hirche, Matthias Münzberg, Alexander Klug","doi":"10.1055/a-2721-8891","DOIUrl":"10.1055/a-2721-8891","url":null,"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.","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":"418-424"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544729","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}

引用次数: 0

[A consensus statement of the German Speaking Society for Reconstructive Microsurgery (GSRM): role and potential of robotic microsurgery]. [德语重建显微外科学会（GSRM）共识声明：机器人显微外科的作用和潜力]。

IF 0.6

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: 2025-10-21 DOI: 10.1055/a-2696-3364

Tim Leypold, Arne Hendrik Böcker, Elisabeth Artemis Kappos, Felix Struebing, Benedikt Schäfer, Rolf-Dieter Bader, Ashkan Rashad, Vincent G J Guillaume, Justus P Beier, Frank Hölzle, Maximilian Kueckelhaus, Ulrich Kneser

{"title":"[A consensus statement of the German Speaking Society for Reconstructive Microsurgery (GSRM): role and potential of robotic microsurgery].","authors":"Tim Leypold, Arne Hendrik Böcker, Elisabeth Artemis Kappos, Felix Struebing, Benedikt Schäfer, Rolf-Dieter Bader, Ashkan Rashad, Vincent G J Guillaume, Justus P Beier, Frank Hölzle, Maximilian Kueckelhaus, Ulrich Kneser","doi":"10.1055/a-2696-3364","DOIUrl":"10.1055/a-2696-3364","url":null,"abstract":"As part of a consensus workshop, the following key questions regarding the future of robotic microsurgery were discussed: • What functional and ergonomic requirements should future robotic microsurgery systems meet with respect to their hardware components? • What capabilities are expected of the software in terms of usability and integration into existing hospital systems? • What overarching characteristics must a robotic microsurgical system offer to gain widespread acceptance in clinical practice?Based on a review of the current literature, the above questions were discussed during an expert consensus workshop held by the German Speaking Society for Reconstructive Microsurgery (GSRM) in 2024 in Aachen. The aim was to derive structured, user-centred recommendations for future robotic microsurgical systems. Answers of the Consensus Group: The participants defined the following core requirements for future systems: • Enhanced hardware functionality, ergonomics, and modular design-including wireless, space-saving configurations. • User-friendly software with intuitive operation, smooth scaling, integrated safety functions, and compatibility with clinical IT systems. • Expansion of application areas, sustainability of materials, and integration of emerging technologies such as augmented reality and artificial intelligence.","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":"477-485"},"PeriodicalIF":0.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145350912","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}

引用次数: 0

HaMiPla Best Paper Award – Ihre Favoriten in 2024. HaMiPla最佳论文奖-你最喜欢的2024年。

IF 0.6

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: 2025-12-11 DOI: 10.1055/a-2708-2430

引用次数: 0

[Thumb Carpometacarpal Joint Osteoarthritis: Current Concepts in German-Speaking Countries]. [拇指手掌骨关节骨关节炎：德语国家的当前概念]。

IF 0.6

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 : 2025-09-01 Epub Date: 2025-05-22 DOI: 10.1055/a-2579-9277

Stefan Meuser, Elvira Bodmer, Nadine Briefer, Vanessa Reischenböck, Stephan Franz Schindele

引用次数: 0

Osteochondroma of the fifth metacarpal bone in mature person: a case report. 成人第五掌骨骨软骨瘤1例。

IF 0.6

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 : 2025-09-01 Epub Date: 2025-07-03 DOI: 10.1055/a-2622-0778

Andrzej Zyluk

引用次数: 0