{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:14:19Z","timestamp":1758759259130,"version":"3.44.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T00:00:00Z","timestamp":1748563200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100011852","name":"Paracelsus Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100011852","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:p>Die Behandlung von Schaftfrakturen an der oberen Extremit\u00e4t ist Teil des unfallchirurgischen Klinikalltags. W\u00e4hrend bei jungen Erwachsenen sportassoziierte Verletzungen dominieren, steigt bei \u00e4lteren Patienten die Inzidenz osteoporotischer Frakturen stark an. Trotz etablierter Versorgungsstrategien sind Komplikationen wie Wundheilungsst\u00f6rungen, Infektionen, neurovaskul\u00e4re Verletzungen, Achsen- oder Rotationsfehler, Pseudarthrosen und Implantatversagen h\u00e4ufig. Ein effektives Komplikationsmanagement setzt detaillierte Kenntnisse \u00fcber morphologische Frakturmerkmale, individuelle Risikofaktoren und differenzierte Revisionsstrategien voraus. Anhand von 2 klinischen Fallbeispielen verdeutlichen wir die Notwendigkeit individuell angepasster Versorgungskonzepte. Aufgrund der steigenden Zahl von zur postprim\u00e4ren Behandlung zutransferierten Kriegsopfern im mitteleurop\u00e4ischen Raum erh\u00f6ht sich die Wahrscheinlichkeit, mit ungewohnten Verletzungsmustern, wie etwa nach Explosionen oder Schussverletzungen, konfrontiert zu werden. Dies geht mit neuen Herausforderungen im klinischen Alltag einher. Die physio- und ergotherapeutische Betreuung spielen nach Revisionen von Schaftfrakturen an der oberen Extremit\u00e4t eine zentrale Rolle f\u00fcr das funktionelle Ergebnis. In der geriatrischen Versorgung verbessern alterstraumatologische Konzepte die Mobilisierung und Selbstst\u00e4ndigkeit \u00e4lterer Patienten. Entscheidend bleibt, die Erwartungshaltung der Patienten zu ber\u00fccksichtigen und die Rehabilitation engmaschig zu begleiten.<\/jats:p>","DOI":"10.1007\/s00113-025-01592-9","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T06:40:16Z","timestamp":1748587216000},"page":"767-774","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Komplikationsmanagement von Schaftfrakturen an den oberen Extremit\u00e4ten","Complication management of shaft fractures of the upper extremities"],"prefix":"10.1007","volume":"128","author":[{"given":"Laura A.","family":"Hruby","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaela","family":"Morgenbesser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Wichlas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Auffarth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Freude","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"issue":"7","key":"1592_CR1","doi-asserted-by":"publisher","first-page":"515","DOI":"10.1007\/s00113-024-01449-7","volume":"127","author":"G Achatz","year":"2024","unstructured":"Achatz\u00a0G, Franke\u00a0A, Friemert\u00a0B, Forstmeier\u00a0V, Andres\u00a0T, Wendlandt\u00a0M et\u00a0al (2024) Challenge of limb care after violence and war with a\u00a0special focus on imaging procedures. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Die pr\u00e4sentierten Daten wurden im Einverst\u00e4ndnis der Patienten ver\u00f6ffentlicht.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}