{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:42:56Z","timestamp":1740184976038,"version":"3.37.3"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T00:00:00Z","timestamp":1720569600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T00:00:00Z","timestamp":1720569600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005788","name":"Medical University of Vienna","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005788","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die prothetische Versorgung nach einer Amputation der unteren Extremit\u00e4t geht mit einigen Herausforderungen einher. Skeletale Stumpf-Prothesen-Schnittstellen und selektive Nerventransfers k\u00f6nnen diese teilweise bew\u00e4ltigen, bringen jedoch auch Einschr\u00e4nkungen, die die Notwendigkeit neuer Ans\u00e4tze unterstreichen, mit sich. Hier kann das Konzept der sog. Ersatzteilchirurgie mit der Nutzung von Filetlappen eine wichtige Rolle spielen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>\u00dcbersicht \u00fcber die klassischen prothesenassoziierten Beschwerden, Vor- und Nachteile von Versorgungsstrategien sowie Pr\u00e4sentation alternativer chirurgischer Konzepte.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Es erfolgte eine selektive Literaturrecherche unter Ber\u00fccksichtigung eigener Erfahrungen und Ansichten bez\u00fcglich Vor- und Nachteilen der chirurgischen Versorgungsm\u00f6glichkeiten. Zus\u00e4tzlich wird ein klinischer Patientenfall vorgestellt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse und Schlussfolgerung<\/jats:title>\n                <jats:p>Der Transfer der Fu\u00dfsohle als Filetlappen in die Belastungszone des Amputationsstumpfes geht mit einer Vielzahl von Vorz\u00fcgen wie Endbelastbarkeit des Stumpfes, Vorbeugen von Nervenschmerzen, erhaltener Sensibilit\u00e4t und Bewahren des K\u00f6rperbilds einher. Die Technik kann bei Amputationen sowohl proximal wie auch distal des Kniegelenks eingesetzt werden, vorausgesetzt, dass die Fersenregion nicht beeintr\u00e4chtigt ist. Die Frage, ob Anteile des Knochens in den Transfer einbezogen werden soll, ist bei jedem Patienten individuell zu evaluieren. Dieser Ansatz erm\u00f6glicht die Optimierung des Amputationsstumpfes f\u00fcr die nachfolgende prothetische Versorgung der Patienten.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-024-01460-y","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T09:04:42Z","timestamp":1720602282000},"page":"651-659","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Filetlappentransfer als Alternative zu konventionellen Amputationen der unteren Extremit\u00e4t","Fillet flap transfer as alternative to conventional lower limb amputation"],"prefix":"10.1007","volume":"127","author":[{"given":"L.","family":"Harnoncourt","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Gstoettner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Pflaum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Laengle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O. 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