{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T23:41:54Z","timestamp":1765496514364,"version":"3.48.0"},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die orthoplastische Chirurgie spielt eine zentrale Rolle in der Versorgung\n                        von Arbeits- und Wegeunf\u00e4llen unter dem Dach der gesetzlichen\n                        Unfallversicherung. Dieser Beitrag analysiert aktuelle Standards in\n                        Akutversorgung, septischen Verl\u00e4ufen und Rehabilitation.<\/jats:p>\n                  <jats:p>Ausgewertet wurden Leitlinien der Deutschen Gesetzlichen Unfallversicherung\n                        (DGUV), Zertifizierungsanforderungen f\u00fcr Traumazentren sowie retrospektive\n                        Fallserien aus zugelassenen Kliniken (2015\u20132024).<\/jats:p>\n                  <jats:p>Moderne Behandlungspfade integrieren plastisch-rekonstruktive Techniken in\n                        78% der Schwerstverletztenf\u00e4lle (SAV). Septische Komplikationen nach\n                        Polytrauma zeigen eine Inzidenz von 9\u201312%, wobei einstufige\n                        Wechseloperationen bei 82% der Protheseninfektionen erfolgreich sind. Die\n                        interdisziplin\u00e4re Rehabilitation verk\u00fcrzt die Arbeitsunf\u00e4higkeitsdauer um\n                        durchschnittlich 23%.<\/jats:p>\n                  <jats:p>Die Vernetzung von Akutkliniken, septischer Chirurgie und\n                        Rehabilitationszentren optimiert Outcomes. Standardisierte\n                        Qualit\u00e4tsindikatoren und telemedizinische Nachsorgekonzepte bed\u00fcrften\n                        weiterer Forschung und Entwicklung.<\/jats:p>","DOI":"10.1055\/a-2721-8891","type":"journal-article","created":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T23:59:11Z","timestamp":1763423951000},"page":"418-424","source":"Crossref","is-referenced-by-count":0,"title":["Orthoplastische Chirurgie innerhalb der gesetzlichen\n                    Unfallversicherung"],"prefix":"10.1055","volume":"57","author":[{"given":"Christian Miguel","family":"Balser","sequence":"additional","affiliation":[{"name":"Trauma & Orthopedic Surgery, BG Unfallklinik Frankfurt am Main\n                    gGmbH, Frankfurt, Germany"},{"name":"Orthoplastic Surgery, BG Unfallklinik Frankfurt am Main gGmbH,\n                    Frankfurt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6112-8671","authenticated-orcid":false,"given":"Christoph","family":"Hirche","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie, Hand- und Rekonstruktive\n                    Mikrochirurgie, Handtrauma- und Replantationszentrum, BG Unfallklinik Frankfurt\n                    am Main, Frankfurt am Main, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"M\u00fcnzberg","sequence":"additional","affiliation":[{"name":"Unfallchirurgie & Orthop\u00e4dische Chirurgie, BG Unfallklinik\n                    Frankfurt am Main gGmbH, Frankfurt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Klug","sequence":"additional","affiliation":[{"name":"Unfallchirurgie & Orthop\u00e4dische Chirurgie, BG Unfallklinik\n                    Frankfurt am Main gGmbH, Frankfurt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"volume-title":"Arbeitsunfallstatistik 2023","year":"2024","author":"Deutsche Gesetzliche Unfallversicherung\n                            (DGUV)","key":"ref1"},{"volume-title":"Gesetzliche Unfallversicherung in Deutschland \u2013 Zahlen und Fakten","year":"2024","author":"Bundesministerium f\u00fcr Arbeit und Soziales\n                            (BMAS)","key":"ref3"},{"key":"ref4","first-page":"789","article-title":"Eine Auswertung aus dem TraumaRegister DGU","volume":"64","author":"TraumaRegister DGU\u00ae","year":"2021","journal-title":"Bundesgesundheitsbl"},{"key":"ref5","first-page":"202","article-title":"Die Plastische Chirurgie im wehrmedizinischen Kontext","volume":"64","author":"S Wendlandt","year":"2020","journal-title":"WMM"},{"key":"ref6","first-page":"123","article-title":"Plastische Chirurgie in der Akutversorgung","volume":"44","author":"R E Giunta","year":"2012","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref10","first-page":"100547","article-title":"BOAST4-Adherence in UK Major Trauma Centres","volume":"38","author":"H Lacey","year":"2024","journal-title":"JPRAS Open"},{"key":"ref11","first-page":"322","article-title":"Impact of orthoplastic teams on outcomes in open tibial fractures","volume":"54","author":"P V Giannoudis","year":"2023","journal-title":"Injury"},{"key":"ref12","first-page":"e5510","article-title":"Establishing a Collaborative Orthoplastic Approach in US Level-1 Trauma\n                    Centers","volume":"12","author":"S M Dholakia","year":"2024","journal-title":"PRS Global Open"},{"key":"ref14","first-page":"627","article-title":"Risk factors affect success rate of debridement, antibiotics and implant\n                    retention (DAIR) in periprosthetic joint infection","volume":"15","author":"C H Yan","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"ref15","first-page":"959","article-title":"Fix and flap","volume":"82","author":"S J Gopal","year":"2000","journal-title":"Br J Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/S0030-5898(20)31815-0","article-title":"The reconstructive ladder. 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Chir"},{"key":"ref40","first-page":"834","article-title":"Shaping the System \u2013 The DRG Evaluation Project of the German DRG Institute","volume":"73","author":"B Augurzky","year":"2011","journal-title":"Gesundheitswesen"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"464","DOI":"10.1055\/a-1230-3914.","article-title":"\u00d6konomische Aspekte der interdisziplin\u00e4ren Plastischen Chirurgie \u2013 Ver\u00e4nderung\n                    der diagnosebezogenen Fallgruppen (DRG) durch Eingriffe der rekonstruktiven\n                    Mikrochirurgie","volume":"52","author":"N Wachtel","year":"2020","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"ref42","first-page":"100547","article-title":"Orthoplastics Management of Open Lower Limb Fractures at a Major Trauma Centre:\n                    Audit of Adherence to BOAST4 Guidelines","volume":"38","author":"H Lacey","year":"2024","journal-title":"JPRAS 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Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2721-8891.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T23:39:51Z","timestamp":1765496391000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2721-8891"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,17]]},"references-count":44,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2025,12,11]]},"published-print":{"date-parts":[[2025,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2721-8891","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"type":"print","value":"0722-1819"},{"type":"electronic","value":"1439-3980"}],"subject":[],"published":{"date-parts":[[2025,11,17]]}}}