{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:44:03Z","timestamp":1771299843549,"version":"3.50.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,12]]},"abstract":"Zusammenfassung<\/jats:title>\n Ziel Cross-Finger-Lappenplastiken sind trotz aller Fortschritte in der\n mikrochirurgischen Rekonstruktion von Fingerdefekten weiterhin ein probates\n Rekonstruktionsverfahren. Daten zu Langzeitergebnissen sind jedoch in der\n Literatur sp\u00e4rlich. Diese retrospektive, unizentrische Kohortenstudie untersucht\n die klinischen und subjektiven Ergebnisse nach Haut- und Weichteilrekonstruktion\n an den beugeseitigen Fingern sowie nach Fingerkuppen-Amputation mittels\n Cross-Finger-Lappenplastik.<\/jats:p>\n Patienten und Methoden Die Studie umfasste Patienten\/-innen, bei welchen\n zwischen Januar 2003 bis Juli 2022 eine Cross-Finger-Lappenplastik zur\n Rekonstruktion von isolierten Haut- und Weichteilverletzungen an den Fingern\n durchgef\u00fchrt wurde. Insgesamt konnten 35 Patienten\/-innen (31 M\u00e4nner, 4 Frauen,\n Durchschnittsalter: 59,0 Jahre\u00b120,1) mittels klinischer Untersuchung und mittels\n Quick-DASH-Score sowie einem eigens entwickelten Fragebogen nachuntersucht\n werden. Die klinische Nachuntersuchung umfasst die Bestimmung des\n Bewegungsradius des rekonstruierten Fingers und des Spenderfingers sowie der\n Sensibilit\u00e4t im Bereich der Cross-Finger-Lappenplastik. Der\n Nachuntersuchungszeitraum belief sich zwischen 1 und 19 Jahren (Mittelwert: 12,6\n Jahre\u00b16,1).<\/jats:p>\n Ergebnis Es ergab sich kein signifikanter Unterschied hinsichtlich der\n Beweglichkeit des rekonstruierten Fingers und des Spenderfingers im Vergleich\n zur kontralateralen gesunden Hand. Alle Patienten berichteten \u00fcber eine\n regelrechte Spitz-\/Stumpf-Diskrimination. Es bestand jedoch ein signifikanter\n Unterschied hinsichtlich der 2-Punkte-Diskrimination im Bereich der\n Cross-Finger-Lappenplastik im Vergleich zu dem gesunden kontralateralen Finger\n (p<0,05). Der Quick-DASH-Score belief sich durchschnittlich auf 5,1 von 10\n Punkten. Die Zufriedenheit mit dem funktionellen Ergebnis hinsichtlich der\n Beweglichkeit und Belastbarkeit der Cross-Finger-Lappenplastik lag\n durchschnittlich bei 8,1 von 10 Punkten. Die Zufriedenheit mit dem \u00e4sthetischen\n Ergebnis des rekonstruierten Fingers lag durchschnittlich bei 7,7 von 10\n Punkten. In 4 F\u00e4llen wurde von persistierenden Schmerzen bei Belastung des\n rekonstruierten Fingers berichtet. In keinem Fall wurde ein Ruheschmerz\n beobachtet.<\/jats:p>\n Schlussfolgerung Die Cross-Finger-Lappenplastik stellt ein sicheres und\n sinnvoll einsetzbares rekonstruktives Verfahren zur Defektdeckung von palmaren\n Verletzungen sowie Fingerkuppen-Amputationen der Finger dar. Im Langzeitverlauf\n sind keine Bewegungseinschr\u00e4nkungen aufgrund der tempor\u00e4ren iatrogenen\n Syndaktylie zu beobachten.<\/jats:p>","DOI":"10.1055\/a-2351-6697","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T22:51:56Z","timestamp":1721083916000},"page":"448-453","source":"Crossref","is-referenced-by-count":2,"title":["Langzeitergebnisse nach Rekonstruktion von Fingerdefekten mittels\n Cross-Finger-Lappenplastik"],"prefix":"10.1055","volume":"56","author":[{"given":"Markus","family":"Mulica","sequence":"additional","affiliation":[{"name":"Plastische- und Handchirurgische Klinik, Universit\u00e4tsklinikum Erlangen,\n Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Yasmin","sequence":"additional","affiliation":[{"name":"Plastische- und Handchirurgische Klinik, Universit\u00e4tsklinikum Erlangen,\n Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aijia","family":"Cai","sequence":"additional","affiliation":[{"name":"Plastische- und Handchirurgische Klinik, Universit\u00e4tsklinikum Erlangen,\n Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Arkudas","sequence":"additional","affiliation":[{"name":"Plastische- und Handchirurgische Klinik, Universit\u00e4tsklinikum Erlangen,\n Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wibke","family":"M\u00fcller-Seubert","sequence":"additional","affiliation":[{"name":"Plastische- und Handchirurgische Klinik, Universit\u00e4tsklinikum Erlangen,\n Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymund E","family":"Horch","sequence":"additional","affiliation":[{"name":"Plastische- und Handchirurgische Klinik, Universit\u00e4tsklinikum Erlangen,\n Erlangen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"ref1","first-page":"59","article-title":"Prinzipien der Lappenplastik: Eine \u00dcbersicht","volume":"9","author":"AJ J Dragu","year":"2008","journal-title":"CHAZ"},{"key":"ref2","first-page":"301","article-title":"Cross-Finger-Flap als Ultima Ratio zur Defektrekonstruktion an den\n Fingerbeugeseiten","volume":"21","author":"C Motsch","year":"2023","journal-title":"J Dtsch Dermatol Ges"},{"key":"ref3","first-page":"97","article-title":"[The cross-finger flap]","volume":"20","author":"K Megerle","year":"2008","journal-title":"Oper Orthop Traumatol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/00006534-195004000-00011","article-title":"The repair of surface defects of fingers by trans-digital flaps","volume":"5","author":"M Gurdin","year":"1950","journal-title":"Plast Reconstr Surg (1946)"},{"key":"ref5","first-page":"419","article-title":"The cross finger flap: a new method of repair","volume":"17","author":"T D Cronin","year":"1951","journal-title":"Am Surg"},{"key":"ref6","first-page":"13","article-title":"Special Issue "Plastic and Reconstructive Surgery in Personalized\n Medicine"","author":"R E Horch","year":"2023","journal-title":"J Pers Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1097\/00006534-196604000-00011","article-title":"Local flap repair of fingertip injuries","volume":"37","author":"J Hueston","year":"1966","journal-title":"Plast Reconstr Surg"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1080\/2000656X.2020.1762624","article-title":"Finger reconstruction with dorsal metacarpal artery perforator flaps and dorsal\n finger perforator flaps based on the dorsal branches of the palmar digital\n arteries - 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