{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:24:53Z","timestamp":1730870693894,"version":"3.28.0"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Die Behandlung der geburtstraumatischen L\u00e4sionen des Plexus\n                    brachialis durch prim\u00e4re Rekonstruktionen und Nerventransfers hat sich in den\n                    letzten Jahrzehnten etabliert. Bei nicht traumatischen Erkrankungen, die zu\n                    schlaffen L\u00e4hmungen und zur Bewegungsunf\u00e4higkeit von Extremit\u00e4ten f\u00fchren, wie\n                    beispielsweise der Transversen Myelitis (TM) oder der Arthrogryposis multiplex\n                    congenita (AMC), die beide verschiedenste Ursachen haben k\u00f6nnen, steht bislang\n                    die rehabilitative Therapie im Vordergrund, w\u00e4hrend chirurgische Eingriffe nur\n                    limitiert, im Sinne von Umstellungsosteotomien oder Muskeltransfers, Anwendung\n                    finden. Unser Bestreben besteht darin f\u00fcr nicht-traumatische Amyoplasien\n                    Nerventransfers als chirurgische Option zur Verbesserung der Beweglichkeit zu\n                    etablieren.<\/jats:p><jats:p>\n          Patienten Im Zeitraum von 08\/2013 bis 03\/2023 wurden bei insgesamt 23\n                    Patienten im Alter von 4 Monaten bis 64 Monaten (davon 18 mit AMC und 5 mit TM)\n                    funktionsverbessernde Eingriffe in Form mikrochirurgischer Nerventransfers an\n                    der oberen Extremit\u00e4t durchgef\u00fchrt.<\/jats:p><jats:p>\n          Ergebnisse Wir konnten zeigen, dass sowohl bei der AMC wie auch bei der TM\n                    fr\u00fchzeitige Nerventransfers der oberen Extremit\u00e4t eine Reanimation der\n                    Muskulatur erm\u00f6glichen konnten.<\/jats:p><jats:p>\n          Schlussfolgerung Diese Arbeit zeigt auf, dass die Behandlung von\n                    nicht-traumatischen Amyoplasien bei Kindern mit selektiven Nerventransfers eine\n                    erfolgreiche Methode darstellt. Das Erlangen bzw. Wiedererlangen von wichtigen\n                    Funktionen zur Bew\u00e4ltigung des selbstst\u00e4ndigen Alltags kann durch\n                    Nerventransfers erreicht werden. Die operative Methodik ist durch die Behandlung\n                    von traumatischen Nervenverletzungen etabliert, gut bekannt und sicher\n                    durchf\u00fchrbar. Unseres Erachtens stellt dies eine wichtige Behandlungsoption f\u00fcr\n                    p\u00e4diatrische Patienten mit L\u00e4hmungen im Rahmen einer TM oder AMC dar, die auch\n                    den betreuenden Kinder\u00e4rzten bekannt sein sollte.<\/jats:p>","DOI":"10.1055\/a-2240-4781","type":"journal-article","created":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T23:40:49Z","timestamp":1710978049000},"page":"55-64","source":"Crossref","is-referenced-by-count":0,"title":["Nerventransfers bei Kindern mit nicht traumatischer Amyoplasie"],"prefix":"10.1055","volume":"56","author":[{"given":"Benedikt","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hand Surgery - Burn Center, Division for\n                    Plexus Surgery, University Hospital RWTH Aachen, Germany"},{"name":"Department of Plastic Surgery, Hand Surgery - Burn Center, Division for\n                    Plexus Surgery, University Hospital RWTH Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justus P.","family":"Beier","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hand Surgery - Burn Center, Division for\n                    Plexus Surgery, University Hospital RWTH Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Bahm","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Hand Surgery - Burn Center, Division for\n                    Plexus Surgery, University Hospital RWTH Aachen, Germany"},{"name":"Department of Plastic Surgery, Hand Surgery - Burn Center, Division for\n                    Plexus Surgery, University Hospital RWTH Aachen, 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