{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:02:03Z","timestamp":1790420523188,"version":"4.1.0"},"reference-count":89,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Weichteildefekte der Regio tendinis achilleae treten nach\n                    Traumata und insbesondere als Komplikation nach offener Rekonstruktion der Sehne\n                    mit nachfolgendem Infekt auf.<\/jats:p><jats:p>\n          Ziel der Arbeit Es werden Empfehlungen zur Therapie von\n                    Weichteilverletzungen mit Beteiligung der Achillessehne im Kontext der Literatur\n                    formuliert.<\/jats:p><jats:p>\n          Material und Methoden Es wurde eine Recherche der deutsch-,\n                    franz\u00f6sisch- und englischsprachigen Literatur zur Rekonstruktion von\n                    Hautweichteildefekten der Achillessehnenregion durchgef\u00fchrt, welche in\n                    singul\u00e4re und kombinierte tendokutane Defekte differenziert wurden.\n                    Kombinierte Defekte wurden basierend auf drei rekonstruktiven Prinzipien weiter\n                    untergliedert in: ein alleiniger Verschluss der Haut ohne Sehnenrekonstruktion\n                    sowie eine Rekonstruktion der Haut zusammen mit einer Sehnenrekonstruktion als\n                    vaskularisiertes oder avaskul\u00e4res Transplantat.<\/jats:p><jats:p>\n          Ergebnisse Lokale und distal gestielte Lappenplastiken sind f\u00fcr\n                    die Rekonstruktion \u00fcber der Achillessehne mit einer hohen lokalen\n                    Morbidit\u00e4t behaftet, weshalb die Autoren freie Lappenplastiken aufgrund\n                    der geringeren Komplikationsrate favorisieren. Hier eignet sich f\u00fcr\n                    kleine Defekte die freie Medial Sural Artery (MSAP-)Lappenplastik, bei\n                    gro\u00dfen Defekten Muskeloder fasziokutane Lappenplastiken. Technik der\n                    Wahl f\u00fcr die kombinierte tendokutane Rekonstruktion ist die\n                    ALTLappenplastik mit vaskularisierter Fascia lata. Als nicht vaskul\u00e4re\n                    Sehnentransplantate werden h\u00e4ufig die Sehne des M. flexor hallucis\n                    longus oder des M. peroneus brevis verwendet.<\/jats:p><jats:p>\n          Fazit Die Rekonstruktion der Achillessehnenregion erfordert d\u00fcnne\n                    strapazier- und gleitf\u00e4hige Lappen, die eine Schuhver- sorgung\n                    erm\u00f6glichen. Die postoperative Kraft und Beweglichkeit des\n                    Sprunggelenkes zeigen vergleichbare funktionelle Resultate nach vaskularisierter\n                    und nicht vaskularisierter Seh- nenrekonstruktion.<\/jats:p>","DOI":"10.1055\/a-1794-5449","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T22:36:05Z","timestamp":1655937365000},"page":"464-474","source":"Crossref","is-referenced-by-count":5,"title":["Rekonstruktionen von Weichteildefekten der Achillessehnen region\n                    \u2013 eine Literatur\u00fcbersicht"],"prefix":"10.1055","volume":"54","author":[{"given":"Susanne","family":"Rein","sequence":"additional","affiliation":[{"name":"St\u00e4dtisches Klinikum Sankt Georg Leipzig, Klinik f\u00fcr\n                    Plastische und Handchirurgie mit Schwerbrandverletztenzentrum"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Kremer","sequence":"additional","affiliation":[{"name":"St\u00e4dtisches Klinikum Sankt Georg Leipzig, Klinik f\u00fcr\n                    Plastische und Handchirurgie mit Schwerbrandverletztenzentrum"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.fas.2009.10.006","article-title":"Immediate free tissue transfer for co- verage of Achilles tendon injury or\n                    reconstruction","volume":"16","author":"J M Baden","year":"2010","journal-title":"Foot Ankle Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1097\/00006534-198804000-00015","article-title":"Reconstruction of achilles tendon and calcaneus defects with\n                    skin-aponeurosis-bone composite free tissue from the groin region","volume":"81","author":"F C Wei","year":"1988","journal-title":"Plast Reconstr Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1177\/107110070102200707","article-title":"An analysis of skin perfusion over the Achilles tendon in varying degrees of\n                    plantarflexion","volume":"22","author":"A R Poynton","year":"2001","journal-title":"Foot Ankle Int"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j. fas.2019.03.010","article-title":"Surgical versus non-surgical treatment for acute Achilles\u2019 tendon\n                    rupture. 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