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Hierbei kommt insbesondere an der oberen Extremit\u00e4t ein funktioneller Aspekt hinzu, da zur Steuerung myoelektrischer Prothesen entsprechende Muskelsignale notwendig sind. Der Umgang mit peripheren Nerven im Stumpfbereich nimmt sowohl hinsichtlich der Schmerztherapie als auch der funktionellen Mensch-Maschinen-Anbindung eine zentrale Rolle ein.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Die Darstellung aktueller chirurgischer Verfahren zum Umgang mit peripheren Nerven nach Extremit\u00e4tenamputation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Es erfolgt eine Literaturrecherche bzgl. chirurgischer Prophylaxe und Therapie von Neurom- und Phantomschmerzen, sowie zu Techniken zur Verbesserung der funktionellen Schnittstelle zwischen Stumpf und Prothese. Anhand relevanter Arbeiten sowie der Erfahrungen der Autoren werden entsprechende Empfehlungen formuliert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse und Diskussion<\/jats:title>\n                    <jats:p>Es gibt eine gro\u00dfe Anzahl an verschiedenen Operationstechniken, insbesondere im Umgang mit schmerzhaften Neuromen. Von den klassischen Verfahren findet besonders h\u00e4ufig die intramuskul\u00e4re Verlagerung der endst\u00e4ndiger Nerven Anwendung. Neuere Techniken wie Targeted Muscle Reinnervation (TMR) und Regenerative Peripheral Nerve Interface (RPNI) zielen erstmals darauf ab, dem Nerven auch nach Amputation funktionelle Endorgane zu liefern. Neben der verbesserten Steuerung myoelektrischer Prothesen zeigen diese Verfahren auch exzellente Ergebnisse in Bezug auf Neurom- und Phantomschmerzen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00132-020-04032-1","type":"journal-article","created":{"date-parts":[[2020,11,24]],"date-time":"2020-11-24T08:03:01Z","timestamp":1606204981000},"page":"14-23","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Der chirurgische Umgang mit peripheren Nerven nach Extremit\u00e4tenverlust","Surgical management of peripheral nerves after extremity loss"],"prefix":"10.1007","volume":"50","author":[{"given":"Clemens","family":"Gstoettner","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregor","family":"Laengle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Salminger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Festin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"Platzgummer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oskar C.","family":"Aszmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,11,24]]},"reference":[{"key":"4032_CR1","doi-asserted-by":"publisher","first-page":"1022","DOI":"10.1016\/S0363-5023(03)00379-4","volume":"28","author":"OC Aszmann","year":"2003","unstructured":"Aszmann\u00a0OC, Korak\u00a0KJ, Rab\u00a0M et al (2003) Neuroma prevention by end-to-side neurorraphy: an experimental study in rats. 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