{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T15:13:12Z","timestamp":1649085192263},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T00:00:00Z","timestamp":1588896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T00:00:00Z","timestamp":1588896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum W\u00fcrzburg"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n<jats:title>Hintergrund<\/jats:title>\n<jats:p>Die Weichgewebsrekonstruktion bei alten Patienten stellt eine Herausforderung dar. Der freie Gewebetransfer kann bei gesunden Patienten trotz hohen Alters mit hoher Erfolgsrate durchgef\u00fchrt werden. Bei multimorbiden Patienten, die f\u00fcr den freien Gewebetransfer nicht in Betracht kommen, werden h\u00e4ufig lokale Lappenplastiken eingesetzt, welche mit einer hohen Komplikationsrate assoziiert sind. Gerade solche Rettungseingriffe m\u00fcssen so gew\u00e4hlt werden, dass eine Amputation durch die Wahl der Entnahmestelle nicht nachteilig beeinflusst wird oder gar unm\u00f6glich wird.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methode<\/jats:title>\n<jats:p>Drei\u00a0distal basierte lokale Lappenplastiken wie Suralis\u2011, Peronaeus-brevis- und Propellerlappenplastik werden im Hinblick auf die Platzierung der Entnahmestelle sowie die Komplikationen der Wundheilungsst\u00f6rung diskutiert.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Ergebnisse<\/jats:title>\n<jats:p>Die Entnahmestelle der Suralislappenplastik ist nachteilig, da die proximale, dorsale Wadenregion betroffen ist, die im Falle einer Unterschenkelamputation die Weichteildeckung des Stumpfes erm\u00f6glicht.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Schlussfolgerung<\/jats:title>\n<jats:p>Soll eine lokale Lappenplastik als \u201eRettungseingriff\u201c als Versuch der Vermeidung einer Unterschenkelamputation bei f\u00fcr einen freien Gewebetransfer nichtgeeigneten Patienten zum Einsatz kommen, gilt es, Lappenplastiken zu w\u00e4hlen, die die Entnahmestelle au\u00dferhalb der dorsalen, proximalen Wade platzieren, um die Weichteildeckung einer Stumpfbildung potenziell zu erm\u00f6glichen.<\/jats:p>\n<\/jats:sec>","DOI":"10.1007\/s00113-020-00814-6","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T12:02:45Z","timestamp":1588939365000},"page":"961-968","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Lokale Lappenplastiken als letzter Versuch vor der Unterschenkelamputation: eine \u00dcbersicht"],"prefix":"10.1007","volume":"123","author":[{"given":"Rafael G.","family":"Jakubietz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainer H.","family":"Meffert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Jakubietz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Seyfried","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karsten","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,5,8]]},"reference":[{"issue":"2","key":"814_CR1","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1097\/01.sap.0000168888.31085.29","volume":"55","author":"MM Al-Qattan","year":"2005","unstructured":"Al-Qattan\u00a0MM (2005) Lower-limb reconstruction utilizing the reverse sural artery flap-gastrocnemius muscle cuff technique. 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