{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T06:14:12Z","timestamp":1778048052035,"version":"3.51.4"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2020,12]]},"abstract":"Zusammenfassung<\/jats:title>\n Ziel Der Studie Durchgef\u00fchrt wurde eine retrospektive Analyse der\n klinischen Ergebnisse und Komplikationsraten aller oberschenkelamputierten\n Patienten eines Zentrums, die mit dem neuesten Implantatdesign der sogenannten\n Endo-Exo-Femur-Prothese (EEFP, dritte Generation) versorgt wurden. Ziel ist es,\n spezifische Informationen zu Langzeitkomplikationen dieser\n Amputationsversorgungsform zu gewinnen.<\/jats:p>\n Methodik Im Januar 2019 wurden Daten aller Oberschenkelamputierten, die\n von 2010 bis 2016 an einer Akutklinik aus Schleswig-Holstein mit TOPS versorgt\n wurden, retrospektiv analysiert. Dies geschah unter besonderer\n Ber\u00fccksichtigung der postoperativen Komplikationen. Hierf\u00fcr\n wurden alle Untersuchungsbefunde der klinischen Routine-Nachsorge-Untersuchungen\n herangezogen. Die Komplikationen wurden unterteilt in Stomaprobleme,\n orthop\u00e4die-technische Probleme, Frakturen und Explantationen. Alle EEFPs\n besa\u00dfen das gleiche Implantatdesign (dritte Generation). Dieses\n Implantat findet derzeit als einziges TOPS in Deutschland klinische Anwendung.\n Eine deskriptive Statistik des Patientenkollektivs, sowie\n Verh\u00e4ltnisangaben \u00fcber aufgetretene Komplikationen wurden\n berechnet.<\/jats:p>\n Ergebnisse Insgesamt wurden in diesem Zeitraum 68 Implantationen\n durchgef\u00fchrt. Durchschnittliche Beobachtungszeit war 6,32 Jahre\n (\u00b12,16 Jahre). Das mittlere Alter der Patienten betrug 51,84\n Jahre\u00b112,12 Jahre. Ursache der Amputation waren \u00fcberwiegend\n Traumata (82,35%). Stoma-assoziierte Probleme zeigten mit 7% die\n h\u00f6chste Inzidenz innerhalb aller beobachteten, patientenassoziierten\n Komplikationen und stellten die gr\u00f6\u00dften Herausforderungen\n w\u00e4hrend des Rehabilitationsprozesses dar. Betrachtet man nur die\n chirurgischen Komplikationen, so hatten 81% \u00fcberhaupt keine\n Komplikationen. Insgesamt wiesen 15% orthop\u00e4die-technische\n Probleme auf, 6% eine peri-prothetische Fraktur, 7% Probleme am\n Stoma und 3% mussten aufgrund einer Infektion explantiert werden.<\/jats:p>\n Schlussfolgerung Die erhobene Datenanalyse zeigt, dass TOPS (hier die\n EEFP der dritten Generation) eine erfolgreiche alternative Behandlungsmethode\n zur Schaftprothesenversorgung f\u00fcr Patienten mit\n Oberschenkelknochenverlust darstellen k\u00f6nnen. Die Indikation sollte erst\n nach dem Versagen einer Schaftversorgung erfolgen und Kontraindikationen\n m\u00fcssen umfassend ausgeschlossen werden. Die gr\u00f6\u00dften\n Herausforderungen im Rehabilitationsprozess stellen die Vermeidung von\n Stomakomplikationen, Infektionen und orthop\u00e4die-technischen Problemen\n dar. Die Rehabilitation von Amputierten, die mit TOPS behandelt werden,\n erfordert daher ein interdisziplin\u00e4res, spezialisiertes\n Rehabilitations-Team und eine lebenslange rehabilitative Versorgung.<\/jats:p>","DOI":"10.1055\/a-1223-3205","type":"journal-article","created":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:18:48Z","timestamp":1598919528000},"page":"357-365","source":"Crossref","is-referenced-by-count":12,"title":["Transkutane osseointegrierte Prothesensysteme (TOPS) zur Versorgung\n Oberschenkelamputierter"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1699-0577","authenticated-orcid":false,"given":"Alexander","family":"Ranker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Rehabilitationsmedizin, Medizinische Hochschule\n Hannover"},{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule\n Hannover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"\u00d6rgel","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule\n Hannover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James Peter","family":"Beck","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Veteranenangelegenheiten, Salt Lake City,\n USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Krettek","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule\n Hannover"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horst Heinrich","family":"Aschoff","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule\n Hannover"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,8,31]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s10039-010-1678-8","article-title":"Endo-Exo-Prothese","volume":"13","author":"H H Aschoff","year":"2011","journal-title":"Trauma Berufskrankh"},{"key":"ref2","first-page":"462","volume":"23","author":"H H Aschoff","year":"2011","journal-title":"Implantation der Endo-Exo-Femurprothese zur Verbesserung der\n Mobilit\u00e4t amputierter Patienten.Oper Orthop Traumatol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1682\/JRRD.2014.11.0280","article-title":"Fifteen years of experience with Integral-Leg-Prosthesis: Cohort study of\n artificial limb attachment system","volume":"52","author":"D L 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Med"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1682\/JRRD.2008.06.0080","article-title":"One hundred patients treated with osseointegrated transfemoral amputation\n prostheses \u2013 rehabilitation perspective","volume":"46","author":"K Hagberg","year":"2009","journal-title":"J Rehabil Res Dev"}],"container-title":["Die Rehabilitation"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1223-3205.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,7]],"date-time":"2020-12-07T23:46:42Z","timestamp":1607384802000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1223-3205"}},"subtitle":["Eine sechsj\u00e4hrige retrospektive Analyse des aktuellen\n Prothesendesigns in Deutschland"],"short-title":[],"issued":{"date-parts":[[2020,8,31]]},"references-count":29,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2020,12,7]]},"published-print":{"date-parts":[[2020,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1223-3205","relation":{},"ISSN":["0034-3536","1439-1309"],"issn-type":[{"value":"0034-3536","type":"print"},{"value":"1439-1309","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,31]]}}}