Christian Miguel Balser, Christoph Hirche, Matthias Münzberg, Alexander Klug
{"title":"【法定意外保险制度下的整形手术】。","authors":"Christian Miguel Balser, Christoph Hirche, Matthias Münzberg, Alexander Klug","doi":"10.1055/a-2721-8891","DOIUrl":null,"url":null,"abstract":"<p><p>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.</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":"418-424"},"PeriodicalIF":0.6000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":null,\"url\":null,\"abstract\":\"<p><p>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.</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\":\"418-424\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2721-8891\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/11/17 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1055/a-2721-8891","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/11/17 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
[Orthoplastic Surgery within the Statutory Accident Insurance System].
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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