{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:50:08Z","timestamp":1792090208542,"version":"4.4.0"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"DOI":"10.1007\/s00113-026-01773-0","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:03:03Z","timestamp":1792087383000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Der akut-orthoplastische Patient","The acute orthoplastic patient"],"prefix":"10.1007","author":[{"given":"Klemens","family":"Horst","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"B\u00f6hme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justus","family":"Beier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"issue":"3","key":"1773_CR1","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1097\/00006534-198609000-00001","volume":"78","author":"M Godina","year":"1986","unstructured":"Godina\u00a0M (1986) Early microsurgical reconstruction of complex trauma of the extremities. Plast Reconstr Surg 78(3):285\u2013292","journal-title":"Plast Reconstr Surg"},{"issue":"7","key":"1773_CR2","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1302\/0301-620X.82B7.0820959","volume":"82","author":"S Gopal","year":"2000","unstructured":"Gopal\u00a0S, Majumder\u00a0S, Batchelor\u00a0AG, Knight\u00a0SL, De Boer\u00a0P, Smith\u00a0RM (2000) Fix and flap: the radical orthopaedic and plastic treatment of severe open fractures of the tibia. J\u00a0Bone Joint Surg Br 82(7):959\u2013966","journal-title":"J Bone Joint Surg Br"},{"key":"1773_CR3","unstructured":"BOAST 4 \u2013 The Management of Severe Open Lower Limb Fractures [https:\/\/www.boa.ac.uk\/resource\/boast-4-pdf.html]"},{"issue":"1","key":"1773_CR4","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1097\/BOT.0000000000001614","volume":"34","author":"GAM Govaert","year":"2020","unstructured":"Govaert\u00a0GAM, Kuehl\u00a0R, Atkins\u00a0BL, Trampuz\u00a0A, Morgenstern\u00a0M, Obremskey\u00a0WT, Verhofstad\u00a0MHJ, McNally\u00a0MA, Metsemakers\u00a0WJ, Fracture-Related Infection Consensus G (2020) Diagnosing Fracture-Related Infection: Current Concepts and Recommendations. J\u00a0Orthop Trauma 34(1):8\u201317","journal-title":"J Orthop Trauma"},{"key":"1773_CR5","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1016\/j.jpra.2025.01.021","volume":"43","author":"AF Dagi","year":"2025","unstructured":"Dagi\u00a0AF, Amrami\u00a0MB, Gangoli\u00a0NA, Kim\u00a0DK, Bogue\u00a0JT (2025) Orthoplastic surgery research: Three decades of growth and future directions. JPRAS Open 43:506\u2013509","journal-title":"JPRAS Open"},{"issue":"3","key":"1773_CR6","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/j.cps.2026.02.007","volume":"53","author":"EG Zolper","year":"2026","unstructured":"Zolper\u00a0EG, Kleiber\u00a0GM, Parikh\u00a0RP (2026) Lower Extremity Reconstruction for Open Fractures with Associated Vascular Injuries: Updates in the Management of Gustilo IIIC Injuries. Clin Plast Surg 53(3):371\u2013380","journal-title":"Clin Plast Surg"},{"key":"1773_CR7","unstructured":"Fractures (complex): assessment and management [https:\/\/www.nice.org.uk\/guidance\/ng37\/resources\/fractures-complex-assessment-and-management-pdf-1837397402053]"},{"issue":"12","key":"1773_CR8","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.2106\/JBJS.K.00582","volume":"94","author":"ML Schenker","year":"2012","unstructured":"Schenker\u00a0ML, Yannascoli\u00a0S, Baldwin\u00a0KD, Ahn\u00a0J, Mehta\u00a0S (2012) Does timing to operative debridement affect infectious complications in open long-bone fractures? A systematic review. J\u00a0Bone Joint Surg Am 94(12):1057\u20131064","journal-title":"J Bone Joint Surg Am"},{"issue":"8","key":"1773_CR9","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1016\/j.injury.2007.01.012","volume":"38","author":"DJ Crowley","year":"2007","unstructured":"Crowley\u00a0DJ, Kanakaris\u00a0NK, Giannoudis\u00a0PV (2007) Debridement and wound closure of open fractures: the impact of the time factor on infection rates. Injury 38(8):879\u2013889","journal-title":"Injury"},{"issue":"12","key":"1773_CR10","doi-asserted-by":"publisher","first-page":"3284","DOI":"10.1177\/00031348241265146","volume":"90","author":"P Patel","year":"2024","unstructured":"Patel\u00a0P, Aucar\u00a0J (2024) Telemedicine in Acute Trauma Care: A Review of Quantitative Evaluations on the Impact of Remote Consultation. Am Surg 90(12):3284\u20133293","journal-title":"Am Surg"},{"issue":"6","key":"1773_CR11","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1177\/1357633X251384890","volume":"32","author":"C Langille","year":"2026","unstructured":"Langille\u00a0C, Dow\u00a0T, Pouramin\u00a0P, Grue\u00a0B, Wheelock\u00a0M (2026) Telemedicine for triage: A systematic review of virtual consultation in hand trauma. J\u00a0Telemed Telecare 32(6):493\u2013501","journal-title":"J Telemed Telecare"},{"issue":"6","key":"1773_CR12","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1055\/a-2696-3479","volume":"57","author":"DE Kampshoff","year":"2025","unstructured":"Kampshoff\u00a0DE, Kameh Khosh\u00a0M, Rosslenbroich\u00a0J, Raschke\u00a0MJ, Hirsch\u00a0T, Rosslenbroich\u00a0S (2025) Telemedical extremity boards and quality assessment of guidelines for orthoplastic surgery of open fractures of the extremities. Handchir Mikrochir Plast Chir 57(6):408\u2013417","journal-title":"Handchir Mikrochir Plast Chir"},{"issue":"4","key":"1773_CR13","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1089\/sur.2006.7.379","volume":"7","author":"CJ Hauser","year":"2006","unstructured":"Hauser\u00a0CJ, Adams\u00a0CA Jr, Eachempati\u00a0SR, Council of the Surgical Infection S (2006) Surgical Infection Society guideline: prophylactic antibiotic use in open fractures: an evidence-based guideline. Surg Infect (Larchmt) 7(4):379\u2013405","journal-title":"Surg Infect (Larchmt)"},{"issue":"1","key":"1773_CR14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1097\/BOT.0000000000000262","volume":"29","author":"WD Lack","year":"2015","unstructured":"Lack\u00a0WD, Karunakar\u00a0MA, Angerame\u00a0MR, Seymour\u00a0RB, Sims\u00a0S, Kellam\u00a0JF, Bosse\u00a0MJ (2015) Type\u00a0III open tibia fractures: immediate antibiotic prophylaxis minimizes infection. J\u00a0Orthop Trauma 29(1):1\u20136","journal-title":"J Orthop Trauma"},{"issue":"1","key":"1773_CR15","first-page":"53","volume":"11","author":"S Ress","year":"2026","unstructured":"Ress\u00a0S, Boos\u00a0AM, Gombert\u00a0A, Uhl\u00a0C, Schafer\u00a0B, Lingens\u00a0L, Bulow\u00a0A, Delbruck\u00a0H, Hildebrand\u00a0F, Beier\u00a0JP (2026) Interdisciplinary lower extremity reconstruction in peripheral artery disease with AV-loops and latissimus dorsi flaps. Innov Surg Sci 11(1):53\u201363","journal-title":"Innov Surg Sci"},{"issue":"5 Suppl 4","key":"1773_CR16","doi-asserted-by":"publisher","first-page":"S315","DOI":"10.1097\/TA.0b013e31827018e4","volume":"73","author":"N Fox","year":"2012","unstructured":"Fox\u00a0N, Rajani\u00a0RR, Bokhari\u00a0F, Chiu\u00a0WC, Kerwin\u00a0A, Seamon\u00a0MJ, Skarupa\u00a0D, Frykberg\u00a0E, Eastern Association for the Surgery of T (2012) Evaluation and management of penetrating lower extremity arterial trauma: an Eastern Association for the Surgery of Trauma practice management guideline. J\u00a0Trauma Acute Care Surg 73(5 Suppl 4):S315\u2013S320","journal-title":"J Trauma Acute Care Surg"},{"issue":"Suppl 1","key":"1773_CR17","doi-asserted-by":"publisher","first-page":"S133","DOI":"10.1148\/rg.25si055511","volume":"25","author":"MM Miller-Thomas","year":"2005","unstructured":"Miller-Thomas\u00a0MM, West\u00a0OC, Cohen\u00a0AM (2005) Diagnosing traumatic arterial injury in the extremities with CT angiography: pearls and pitfalls. Radiographics 25(Suppl 1):S133\u2013S142","journal-title":"Radiographics"},{"issue":"1","key":"1773_CR18","first-page":"3","volume":"11","author":"AM Boos","year":"2026","unstructured":"Boos\u00a0AM, Delbruck\u00a0H, Lichte\u00a0P, Schafer\u00a0B, Gombert\u00a0A, Uhl\u00a0C, Hildebrand\u00a0F, Beier\u00a0JP (2026) Orthoplastic surgery for interdisciplinary extremity reconstruction. Innov Surg Sci 11(1):3\u201313","journal-title":"Innov Surg Sci"}],"container-title":["Die Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-026-01773-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-026-01773-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-026-01773-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:03:05Z","timestamp":1792087385000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-026-01773-0"}},"subtitle":["Definition und erste Handlungsempfehlungen: Konsensuspapier der AG Orthoplastische Chirurgie der Deutschen Gesellschaft f\u00fcr Unfallchirurgie e.\u202fV. (DGU) und der Deutschen Gesellschaft f\u00fcr Plastische, Rekonstruktive und \u00c4sthetische Chirurgie e.\u202fV. (DGPR\u00c4C)","Definition and initial management recommendations: consensus statement of the Orthoplastic Surgery Working Group of the German Society for Trauma Surgery (DGU) and the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPR\u00c4C)"],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":18,"alternative-id":["1773"],"URL":"https:\/\/doi.org\/10.1007\/s00113-026-01773-0","relation":{},"ISSN":["2731-7021","2731-703X"],"issn-type":[{"value":"2731-7021","type":"print"},{"value":"2731-703X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"7 September 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 September 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"K.\u00a0Horst, B.\u00a0Thomas, J.\u00a0B\u00f6hme und J.\u00a0Beier geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"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.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}