{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:23:55Z","timestamp":1755224635859,"version":"3.43.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die Amputation einer Extremit\u00e4t ist ein h\u00e4ufig notwendiger, jedoch\n                        irreversibler chirurgischer Eingriff, der mit weitreichenden funktionellen,\n                        psychosozialen und medizinischen Folgen einhergeht. Komorbidit\u00e4ten und\n                        Begleitverletzungen k\u00f6nnen die Behandlung zus\u00e4tzlich erschweren.\n                        Gleichzeitig er\u00f6ffnen moderne chirurgische und technologische Fortschritte\n                        neue M\u00f6glichkeiten, stellen jedoch auch erh\u00f6hte Anforderungen an die\n                        Nachsorge. Vor diesem Hintergrund wurde an unserer Klinik eine\n                        interdisziplin\u00e4re Sprechstunde zur multiprofessionellen Versorgung von\n                        Amputierten eingerichtet.<\/jats:p><jats:p>An einem deutschen universit\u00e4ren Maximalversorger wurde eine spezialisierte\n                        interdisziplin\u00e4re Sprechstunde etabliert. Ziel ist die strukturierte\n                        Indikationsstellung zur Amputation, die qualit\u00e4tsgesicherte Durchf\u00fchrung\n                        orthop\u00e4disch-plastisch-chirurgischer Eingriffe sowie eine ganzheitliche\n                        Nachsorge, die funktionelle, psychosoziale und prothetische Aspekte\n                        ber\u00fccksichtigt. Innerhalb eines Beobachtungszeitraums von zw\u00f6lf Monaten\n                        wurden alle Patientenkontakte hinsichtlich Anzahl, Vorstellungsgr\u00fcnden sowie\n                        Patienten- und Amputationsmerkmalen systematisch erfasst und analysiert.<\/jats:p><jats:p>Im Erhebungszeitraum wurden 474 Konsultationen bei 183 individuellen\n                        Patient:innen dokumentiert. Der Gro\u00dfteil der F\u00e4lle betraf die untere\n                        Extremit\u00e4t (86,25%), w\u00e4hrend 13,75% die obere Extremit\u00e4t betrafen. Das\n                        Patientenkollektiv bestand zu 63,9% aus M\u00e4nnern (n=117) und zu 36,1% aus\n                        Frauen (n=66), mit einem Altersmedian von 55,2\u00b120 Jahren. Die h\u00e4ufigsten\n                        Amputationsursachen waren akute Traumata (n=74; 45,7%), gefolgt von\n                        Gef\u00e4\u00dferkrankungen (n=24; 14,8%) und Infektionen\/Sepsis (n=22; 13,6%). Die\n                        h\u00e4ufigsten Vorstellungsgr\u00fcnde waren standardisierte Kontrolluntersuchungen\n                        (n=49; 23,1%), postoperative Wundkontrollen (n=39; 18,4%) sowie prothetische\n                        Beratung (n=30; 14,2%).<\/jats:p><jats:p>Die komplexen, oft lebenslang wirksamen Folgen einer Amputation erfordern\n                        eine koordinierte, interdisziplin\u00e4re Versorgung mit hoher medizinischer,\n                        therapeutischer und sozialer Kompetenz. Interdisziplin\u00e4re Sprechstunden sind\n                        in der Versorgung chronisch und multimorbid Erkrankter etabliert und\n                        bew\u00e4hrt. Auch in der Behandlung von Amputierten markiert dieses Modell einen\n                        notwendigen Paradigmenwechsel, um eine patientenzentrierte,\n                        sektoren\u00fcbergreifende Versorgung zu erm\u00f6glichen.<\/jats:p>","DOI":"10.1055\/a-2654-7425","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T22:40:08Z","timestamp":1755038408000},"page":"241-250","source":"Crossref","is-referenced-by-count":0,"title":["Brauchen wir eine Spezialsprechstunde? Wie Innovationen\n                    Interdisziplinarit\u00e4t in der Amputationsmedizin f\u00f6rdern"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2192-5152","authenticated-orcid":false,"given":"Dominik","family":"Behringer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische, Hand- und\n                    Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnus","family":"Kalff","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"},{"name":"Klinik f\u00fcr Unfallchirurgie, Orthop\u00e4die und Plastische Chirurgie,\n                    Universit\u00e4tsmedizin G\u00f6ttingen, Gottingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nora","family":"Kirsten","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Hoursch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viktoria","family":"Witowski","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Jopp","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vesta","family":"Brauckmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marlene","family":"Arlt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Kasprzak","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Eckhardt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Rehabilitations- und Sportmedizin, Medizinische Hochschule\n                    Hannover, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Schiessler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie und Intensivmedizin, Medizinische Hochschule\n                    Hannover, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joerg","family":"Schiller","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Rehabilitations- und Sportmedizin, Medizinische Hochschule\n                    Hannover, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Egen","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Rehabilitations- und Sportmedizin, Medizinische Hochschule\n                    Hannover, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Schilke","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die, Rehazentrum Bad Eilsen, Bad Eilsen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantin","family":"Bessonov","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die, Rehazentrum Bad Eilsen, Bad Eilsen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lutz","family":"Niehage","sequence":"additional","affiliation":[{"name":"John+Bamberg GmbH & Co. KG, John+Bamberg GmbH & Co. KG,\n                    Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrik","family":"Kramer","sequence":"additional","affiliation":[{"name":"John+Bamberg GmbH & Co. KG, John+Bamberg GmbH & Co. KG,\n                    Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Breitenstein","sequence":"additional","affiliation":[{"name":"Brandes & Diesing OHG, Brandes & Diesing OHG, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wiebke","family":"Von Klot","sequence":"additional","affiliation":[{"name":"John+Bamberg GmbH & Co. KG, John+Bamberg GmbH & Co. KG,\n                    Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frauke","family":"Last","sequence":"additional","affiliation":[{"name":"John+Bamberg GmbH & Co. KG, John+Bamberg GmbH & Co. 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KGaA, Ottobock SE & Co KGaA, Duderstadt,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Vogt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische, \u00c4sthetische, Hand- und\n                    Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Sehmisch","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Ernst","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover,\n                    Germany"},{"name":"Klinik f\u00fcr Unfallchirurgie, Orthop\u00e4die und Plastische Chirurgie,\n                    Universit\u00e4tsmedizin G\u00f6ttingen, Gottingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,8,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s12913-018-3759-5","article-title":"Amputation rates of the lower limb by amputation level \u2013 observational study\n                    using German national hospital discharge data from 2005 to 2015","volume":"19","author":"M Spoden","year":"2019","journal-title":"BMC Health Serv Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"130","DOI":"10.3238\/arztebl.2017.0130","article-title":"Lower Limb Amputation in Germany","volume":"114","author":"K Kr\u00f6ger","year":"2017","journal-title":"Dtsch Arztebl Int"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"656","DOI":"10.1055\/s-0037-1605916","article-title":"Mengenentwicklung bei station\u00e4ren Amputationen unterer Extremit\u00e4ten \u2013 Analyse\n                    der bundesweiten Krankenhausabrechnungsdaten von 2005 \u2013 2014","volume":"79","author":"M Spoden","year":"2017","journal-title":"Gemeinsam forschen \u2013 gemeinsam handeln"},{"key":"ref4","volume-title":"International classification of impairments, disabilities, and handicaps: A\n                    manual of classification relating to the consequences of disease ; 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