{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T23:43:38Z","timestamp":1776210218142,"version":"3.50.1"},"reference-count":52,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Die orthoplastische Chirurgie vereint traumatologische und mikrochirurgische Prinzipien zur funktionellen Wiederherstellung komplexer Extremit\u00e4tenverletzungen. W\u00e4hrend kn\u00f6cherne Stabilisierung und Weichteildeckung l\u00e4ngst etablierte Prinzipien darstellen, wird der Stellenwert der fr\u00fchzeitigen Rekonstruktion peripherer Nerven im orthoplastischen Gesamtkonzept zunehmend anerkannt. Ziel dieser Arbeit ist es, Prinzipien der peripheren Nervenchirurgie im orthoplastischen Kontext systematisch darzustellen.<\/jats:p>\n                  <jats:p>Im Rahmen eines Scoping Reviews wurde die Literatur zur peripheren Nervenchirurgie bei orthoplastischen Eingriffen systematisch recherchiert und narrativ aufgearbeitet. Eingeschlossen wurden Originalarbeiten, Reviews, Fallserien und Leitlinien aus den Jahren 1990 bis 2025. Der Fokus lag auf Nervenrekonstruktion, Nerventransfers, neurotisierten Lappenplastiken sowie Strategien der Schmerzpr\u00e4vention bei Amputationen.<\/jats:p>\n                  <jats:p>Periphere Nervenl\u00e4sionen treten h\u00e4ufig als Begleitverletzung bei Hochenergietraumata auf und beeinflussen das funktionelle Resultat ma\u00dfgeblich. Eine fr\u00fchzeitige nervenchirurgische Mitbeurteilung ist essenziell, da das Zeitfenster f\u00fcr erfolgreiche motorische Reinnervation begrenzt ist. Neben der Prim\u00e4rnaht und autologer Transplantation kommen zunehmend Nerventransfers und motorische Ersatzoperationen f\u00fcr eine funktionelle Rekonstruktion zum Einsatz. Neurotisierte Lappenplastiken, insbesondere bei plantarer Defektrekonstruktion, k\u00f6nnen die Schutzsensibilit\u00e4t verbessern und Sp\u00e4tkomplikationen verhindern. Bei Major-Amputationen senken pr\u00e4ventive Nerventransfers nachweislich die Rate chronischer Schmerzsyndrome und f\u00f6rdern die Prothesenf\u00e4higkeit.<\/jats:p>\n                  <jats:p>Die periphere Nervenchirurgie ist ein zentraler Bestandteil der orthoplastischen Versorgung. Ihre fr\u00fchzeitige Integration in interdisziplin\u00e4re Behandlungsalgorithmen ist entscheidend f\u00fcr funktionelle Langzeitergebnisse. Zuk\u00fcnftige Studien sollten auf eine Standardisierung von Indikationsstellungen, Techniken und Zeitfenstern abzielen.<\/jats:p>","DOI":"10.1055\/a-2790-6989","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T22:44:53Z","timestamp":1776206693000},"page":"142-150","source":"Crossref","is-referenced-by-count":0,"title":["Rolle und Techniken der peripheren Nervenchirurgie in der orthoplastischen Chirurgie"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8130-7714","authenticated-orcid":false,"given":"Simeon C.","family":"Daeschler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universit\u00e4t Heidelberg, BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Ewerbeck","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universit\u00e4t Heidelberg, BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Thomas","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universit\u00e4t Heidelberg, BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roslind","family":"Hackenberg","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universit\u00e4t Heidelberg, BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Kneser","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universit\u00e4t Heidelberg, BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arne Hendrik","family":"B\u00f6cker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universit\u00e4t Heidelberg, BG Unfallklinik Ludwigshafen, Ludwigshafen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/S0030-5898(20)31815-0","article-title":"The reconstructive ladder. 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