{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T12:13:04Z","timestamp":1648987984523},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir."],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Seit Beginn erfolgreicher mikrochirurgischer Fingerreplantationen Anfang der 60er Jahre des letzten Jahrhunderts zeigt sich eine Evolution in den Techniken zur Wiederherstellung der Durchblutung der amputierten Finger. Initial wurden bei den ersten Fingerreplantationen End-zu-End-Anastomosen der Arterien und Venen durchgef\u00fchrt. Sp\u00e4ter wurden bei schwierigen Avulsionsverletzungen Gef\u00e4\u00dfinterponate\u00a0\u2013\u00a0in erster Linie Veneninterponate \u2013mit Erfolg eingesetzt. Diese Gef\u00e4\u00dfinterponate wurden bei gleichzeitigen Weichteilverlusten durch Lappenplastiken im Sinne von Durchflusslappen erweitert. Eine Weiterentwicklung der Techniken stellt die Replantation von amputierten Fingern mit Hilfe von fabrizierten chim\u00e4ren Lappenplastiken dar. Dabei wird der amputierte Finger noch vor der eigentlichen Replantation in Tabula, auf dem Operationstisch, mit den Gef\u00e4\u00dfen einer Lappenplastik mikrochirurgisch anastomosiert und erst dann diese Chimera fabricata als Konstrukt replantiert. Die bisher letzte Entwicklung ist die heterotope Replantation mit sekund\u00e4rer Replantation als fabrizierte chim\u00e4re Lappenplastik. Wir beschreiben im Sinne einer Einf\u00fchrung 3\u2005F\u00e4lle, bei welchen wir dieses Konzept der fabrizierten chim\u00e4ren Lappenplastik bei orthotopen Replantationen erfolgreich angewendet haben.<\/jats:p>","DOI":"10.1055\/a-1348-1310","type":"journal-article","created":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T00:21:58Z","timestamp":1619482918000},"page":"364-369","source":"Crossref","is-referenced-by-count":0,"title":["Das Chimera-fabricata-Lappen-Konzept in der Replantationschirurgie von Fingern\u00a0\u2013\u00a0eine Einf\u00fchrung"],"prefix":"10.1055","volume":"53","author":[{"given":"Elmar","family":"Fritsche","sequence":"additional","affiliation":[{"name":"Kantonsspital Luzern Klinik f\u00fcr Hand- und Plastische Chirurgie"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Giesen","sequence":"additional","affiliation":[{"name":"Kantonsspital Luzern Klinik f\u00fcr Hand- und Plastische 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