{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:43:08Z","timestamp":1740184988462,"version":"3.37.3"},"reference-count":12,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"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":[[2024,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Wir berichten hier von einem komplizierten Fall eines Weichteildefektes mit einer herausfordernden Weichteildeckung am rechten Unterschenkel. Ein 29-j\u00e4hriger Mann entwickelte nach einer Unterschenkelfraktur und Versorgung mit einem Tibianagel ein Kompartmentsyndrom aufgrund einer massiven Nachblutung mit einer L\u00e4sion des N.\u00a0peronaeus communis sowie Muskelnekrosen im Bereich der Fibularisloge. Die initiale Deckung mit Spalthaut zeigte keine Heilungstendenz, sodass der Patient mit einem Weichteildefekt von ca.\u00a025\u202f\u00d7\u202f10\u202fcm am lateralen Unterschenkel mit frei liegender Tibia \u00fcber 15\u202fcm L\u00e4nge in unser Krankenhaus \u00fcbernommen wurde. Es erfolgte prim\u00e4r der Deckungsversuch mit einer Spalthauttransplantation nach sekund\u00e4rer Granulation. Aufgrund einer vorgesch\u00e4digten Gef\u00e4\u00dfversorgung zeigte sich allerdings \u00fcber 8 Monate eine frustrane Wundheilung. Zudem fielen im R\u00f6ntgen eine Pseudarthrose und ein daraus resultierender Schraubenbruch der beiden distalen Verriegelungsschrauben auf. Hierbei wurde die Indikation f\u00fcr einen Revisionseingriff zur Frakturversorgung und zum Implantatwechsel gestellt. Im gleichen Eingriff wurde der Verschluss der kutanen Restdefekte durchgef\u00fchrt. Bei einem bisher komplikationsbehafteten Verlauf und der schwierigen lokalen Durchblutungssituation war die Auswahl der Rekonstruktionsverfahren begrenzt. Es wurde in einem interdisziplin\u00e4ren Vorgehen eine Br\u00fcckenlappenplastik vom medialen Unterschenkel durchgef\u00fchrt. Der Hebedefekt wurde mit Spalthaut gedeckt. Die Wunde konnte auf diese Weise nach einem Jahr schlie\u00dflich suffizient gedeckt werden.<\/jats:p>","DOI":"10.1007\/s00113-024-01481-7","type":"journal-article","created":{"date-parts":[[2024,9,22]],"date-time":"2024-09-22T08:01:17Z","timestamp":1726992077000},"page":"818-823","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Fasziokutane Br\u00fcckenlappenplastik zur Defektdeckung im Komplikationsfall am Unterschenkel nach Kompartmentsyndrom","Fasciocutaneous bridge flap to cover defects on the lower leg after compartment syndrome with a\u00a0complication-prone course"],"prefix":"10.1007","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2466-0754","authenticated-orcid":false,"given":"Anton","family":"Borger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Karge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Babeluk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lukas","family":"Zak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenz","family":"Semmler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Hajdu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Radtke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"issue":"7543","key":"1481_CR1","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1136\/bmj.332.7543.710","volume":"332","author":"DE Boyce","year":"2006","unstructured":"Boyce\u00a0DE, Shokrollahi\u00a0K (2006) Reconstructive surgery. BMJ 332(7543):710\u2013712","journal-title":"BMJ"},{"issue":"4","key":"1481_CR2","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1007\/s00104-019-01096-4","volume":"91","author":"N M\u00f6llhoff","year":"2020","unstructured":"M\u00f6llhoff\u00a0N, Ehrl\u00a0D, Giunta\u00a0RE (2020) Defektdeckung nach schweren Weichteilinfektionen: wann und wie? Chirurgie 91(4):313\u2013318","journal-title":"Chirurgie"},{"issue":"2","key":"1481_CR3","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1097\/PRS.0b013e3181de232b","volume":"126","author":"P Erba","year":"2010","unstructured":"Erba\u00a0P, Ogawa\u00a0R, Vyas\u00a0R, Orgill\u00a0DP (2010) The reconstructive matrix: a\u00a0new paradigm in reconstructive plastic surgery. Plast Reconstr Surg 126(2):492\u2013498","journal-title":"Plast Reconstr Surg"},{"issue":"7","key":"1481_CR4","doi-asserted-by":"publisher","first-page":"1503","DOI":"10.1097\/00006534-199406000-00027","volume":"93","author":"LJ Gottlieb","year":"1994","unstructured":"Gottlieb\u00a0LJ, Krieger\u00a0LM (1994) From the reconstructive ladder to the reconstructive elevator. Plast Reconstr Surg 93(7):1503","journal-title":"Plast Reconstr Surg"},{"issue":"8","key":"1481_CR5","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1016\/S0007-1226(97)90511-7","volume":"50","author":"DG Dujon","year":"1997","unstructured":"Dujon\u00a0DG, Khan\u00a0UD, Aslam\u00a0S (1997) Bipedicle flaps: simple solutions for difficult problems in the extremities. Br J Plast Surg 50(8):641\u2013645","journal-title":"Br J Plast Surg"},{"key":"1481_CR6","first-page":"1","volume":"213","author":"S Stenstrom","year":"1956","unstructured":"Stenstrom\u00a0S (1956) Tumbler flaps; a\u00a0clinical study together with an experimental investigation of the circulation in plane and tubed flaps. Acta Chir Scand Suppl 213:1\u201376","journal-title":"Acta Chir Scand Suppl"},{"key":"1481_CR7","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/S0007-1226(57)80005-8","volume":"10","author":"BS Crawford","year":"1957","unstructured":"Crawford\u00a0BS (1957) The repair of defects of the lower limbs, using a\u00a0local flap. Br J Plast Surg 10:32\u201335","journal-title":"Br J Plast Surg"},{"issue":"6","key":"1481_CR8","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1055\/a-1425-5434","volume":"53","author":"N Heim","year":"2021","unstructured":"Heim\u00a0N, Wilms\u00a0CT (2021) Plastic-surgical coverage of an extended defect on the scalp using a\u00a0bipedicled vascularised flap after removal of two cutaneous squamous epithelial carcinomas. Handchir Mikrochir Plast Chir Organ 53(6):548\u2013551","journal-title":"Handchir Mikrochir Plast Chir Organ"},{"key":"1481_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-37573-9","volume-title":"Praxis der plastischen Chirurgie: plastisch-rekonstruktive Operationen, plastisch-\u00e4sthetische Operationen, Handchirurgie, Verbrennungschirurgie","author":"PM Vogt","year":"2011","unstructured":"Vogt\u00a0PM, Altintas\u00a0MA (2011) Praxis der plastischen Chirurgie: plastisch-rekonstruktive Operationen, plastisch-\u00e4sthetische Operationen, Handchirurgie, Verbrennungschirurgie, 1.\u00a0Aufl. Springer, Berlin Heidelberg (mit 208 Tabellen)","edition":"1"},{"issue":"3","key":"1481_CR10","doi-asserted-by":"publisher","first-page":"187","DOI":"10.3109\/02844319609062813","volume":"30","author":"A Schwabegger","year":"1996","unstructured":"Schwabegger\u00a0A, Ninkovi\u0107\u00a0M, Wechselberger\u00a0G, Anderl\u00a0H (1996) The bipedicled flap on the lower leg, a\u00a0valuable old method? Its indications and limitations in 12\u00a0cases. Scand J Plast Reconstr Surg Hand Surg 30(3):187\u2013193","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"issue":"10","key":"1481_CR11","doi-asserted-by":"publisher","first-page":"1415","DOI":"10.1016\/j.bjps.2013.05.019","volume":"66","author":"JW Granzow","year":"2013","unstructured":"Granzow\u00a0JW, Li\u00a0A, Suliman\u00a0A, Caton\u00a0A, Goldberg\u00a0M, Boyd\u00a0JB (2013) Bipedicled flaps in posttraumatic lower-extremity reconstruction. J\u00a0Plast Reconstr Aesthetic Surg 66(10):1415\u20131420","journal-title":"J Plast Reconstr Aesthetic Surg"},{"issue":"12","key":"1481_CR12","doi-asserted-by":"publisher","first-page":"1681","DOI":"10.2106\/00004623-200012000-00001","volume":"82","author":"AN Pollak","year":"2000","unstructured":"Pollak\u00a0AN, McCarthy\u00a0ML, Burgess\u00a0AR (2000) Short-term wound complications after application of flaps for coverage of traumatic soft-tissue defects about the tibia. The Lower Extremity Assessment Project (LEAP) Study Group. J\u00a0Bone Joint Surg Am 82(12):1681\u20131691","journal-title":"J Bone Joint Surg Am"}],"container-title":["Die Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-024-01481-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-024-01481-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-024-01481-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T22:02:50Z","timestamp":1730844170000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-024-01481-7"}},"subtitle":["Eine \u201efast\u201c vergessene, sichere Lappenplastik","An \u201calmost\u201d forgotten safe flap procedure"],"short-title":[],"issued":{"date-parts":[[2024,9,20]]},"references-count":12,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["1481"],"URL":"https:\/\/doi.org\/10.1007\/s00113-024-01481-7","relation":{},"ISSN":["2731-7021","2731-703X"],"issn-type":[{"type":"print","value":"2731-7021"},{"type":"electronic","value":"2731-703X"}],"subject":[],"published":{"date-parts":[[2024,9,20]]},"assertion":[{"value":"10 August 2024","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 September 2024","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"A.\u00a0Borger, T.\u00a0Karge, R.\u00a0Babeluk, L.\u00a0Zak, L.\u00a0Semmler, S.\u00a0Hajdu, C.\u00a0Radtke und geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, \u00fcber die Patient\/-innen zu identifizieren sind, liegt von ihnen und\/oder ihren gesetzlichen Vertretern\/Vertreterinnen eine schriftliche Einwilligung vor.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}