{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:16:50Z","timestamp":1787804210634,"version":"build-2784847793"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,2]]},"abstract":"Zusammenfassung<\/jats:title>Die Anwendung von semiokklusiven Folienverb\u00e4nden (SOFV) hat sich\n seit ihrer Einf\u00fchrung durch Mennen und Wiese 1993 kontinuierlich erweitert,\n einschlie\u00dflich der Behandlung von Fingerkuppendefektverletzungen (FKDV) vom\n Typ Allen IV, der Nutzung bei einliegendem Fremdmaterial sowie zur\n Behandlung von Fingerkuppennekrosen (FKN).<\/jats:p>Diese Studie untersucht, ob und gegebenenfalls wie sich die\n Ergebnisse von FKDV Typ Allen III und IV sowie FKN von denen vom Typ Allen I\n und II unterscheiden und, ob unter einem SOFV eingebrachtes Fremdmaterial\n wie Nahtmaterial, Kunstnagel und\/oder Kirschner-Dr\u00e4hte das Risiko von\n Komplikationen erh\u00f6ht.<\/jats:p> Insgesamt wurden 50 Patienten mit 44 FKDV und 13 mit FKN im Rahmen einer\n operativen Versorgung mit einem SOFV behandelt. Bei 22 der 50 Patienten lag\n Fremdmaterial unter dem SOFV ein. Bei der Nachuntersuchung wurden die\n K\u00e4lteempfindlichkeit, Schmerzen in Ruhe und bei Belastung, der Einsatz des\n verletzten Fingers im Alltag, die Zufriedenheit der Patienten mit dem\n \u00e4sthetischen Ergebnis, die Sensibilit\u00e4t, Schwei\u00dfsekretion, Papillarleisten\n und Beweglichkeit erfasst. Die Fingern\u00e4gel wurden auf Wachstumsst\u00f6rungen\n kontrolliert. Die Ergebnisse der FKDV Typ Allen I \u2013 IV sowie der FKN wurden\n miteinander verglichen und wo m\u00f6glich in Relation zu den Befunden der\n unverletzten Finger der Gegenseite gesetzt.<\/jats:p>Die klinischen Ergebnisse zeigten, dass der SOFV bei allen Amputationsh\u00f6hen\n des Endglieds und auch bei FKN zur Ausbildung einer guten Fingerkuppe\n f\u00fchrte. Allerdings traten mehr Nagelwachstumsst\u00f6rungen auf je k\u00fcrzer das\n Endglied war. Die Patienten mit FKN waren mit dem \u00e4sthetischen Ergebnis\n weniger zufrieden als Patienten mit prim\u00e4rer Behandlung einer FKDV. Unter\n dem SOFV einliegendes Fremdmaterial hatte keinen Einfluss auf die\n Ergebnisse, insbesondere traten keine Infektionen auf.<\/jats:p>SOFV zeigen bei FKDV Typen Allen III und IV sowie FKN gute Ergebnisse,\n vergleichbar mit denen der Typen Allen I und II. Allerdings ist es wichtig,\n Patienten \u00fcber m\u00f6gliche Risiken wie Nagelwachstumsst\u00f6rungen und\n Beeintr\u00e4chtigungen des \u00e4sthetischen Erscheinungsbildes aufzukl\u00e4ren.\n Operative Ma\u00dfnahmen, durch die Fremdmaterial unter einen SOFV zu liegen\n kommt, beeintr\u00e4chtigen nicht die Heilung von FKDV, so dass das\n Indikationsspektrum f\u00fcr SOFV um entsprechende Verletzungen erweitert werden\n kann.<\/jats:p>","DOI":"10.1055\/a-2496-2706","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:28:16Z","timestamp":1737419296000},"page":"32-43","source":"Crossref","is-referenced-by-count":2,"title":["Ergebnisse der Behandlung von Fingerkuppendefektverletzungen mit\n einem semiokklusiven Verband (\u201eFolienverband\u201c) in Kombination mit operativer\n Versorgung im Rahmen einer erweiterten Indikationsstellung"],"prefix":"10.1055","volume":"57","author":[{"given":"Polina","family":"Dimitrova-Chakarova","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, Rh\u00f6n Klinikum Campus Bad Neustadt, Bad\n Neustadt, Germany"},{"name":"Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie,\n BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl-Josef","family":"Prommersberger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Elektive Handchirurgie, St. Josef Krankenhaus Schweinfurt,\n Schweinfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"van Schoonhoven","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, Rh\u00f6n Klinikum Campus Bad Neustadt, Bad\n Neustadt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"M\u00fchldorfer-Fodor","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Handchirurgie, Rh\u00f6n Klinikum Campus Bad Neustadt, Bad\n Neustadt, Germany"},{"name":"Klinik f\u00fcr Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie,\n BG Klinik T\u00fcbingen, T\u00fcbingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,1,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1007\/s11552-011-9383-z","article-title":"The epidemiology of upper extremity injuries presenting to the emergency\n department in the United States","volume":"7","author":"D Ootes","year":"2011","journal-title":"Hand"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2093","DOI":"10.1016\/j.jhsa.2014.04.025","article-title":"Management of fingertip amputations","volume":"39","author":"S L Peterson","year":"2014","journal-title":"J Hand Surg Am"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1007\/s00064-012-0192-5","article-title":"Behandlung von Fingerkuppendefektverletzungen mit dem Semiokklusionsverband nach\n Mennen und Wiese","volume":"25","author":"M M\u00fchldorfer-Fodor","year":"2013","journal-title":"Oper Orthop Traumatol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S0030-5898(20)31722-3","article-title":"Fingertip and nailbed injuries","volume":"23","author":"T R Stevenson","year":"1992","journal-title":"Orthop Clin North Am"},{"key":"ref5","first-page":"24","article-title":"Die Behandlung von Fingerkuppendefektverletzungen mit einem semiokklusiven\n Verband","volume":"30","author":"M Quell","year":"1998","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1097\/00003086-199808000-00008","article-title":"Controversies in the treatment of fingertip amputations. 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