Zur Standardisierung des therapeutischen Vorgehens bei der Versorgung von Amputations- und amputationsartigen Verletzungen im Unterschenkelbereich - das „integrative Therapiekonze…
R. Hierner, C. Cedidi, A. M. Betz, A. C. Berger · Handchirurgie · Mikrochirurgie · Plastische Chirurgie · 2002 · Heft 05 · S. 277-291
Bibliografische Angaben
Zusammenfassung
Abstract Because of better defined indications and operative concepts for replantation, and better postoperative management, there has been a clear improvement of results. In spite of the higher costs and the longer time of recovery after lower leg replantation compared to primary amputation and early prosthetic fitting, replantation should be carried out if possible, indicated and desired. The importance of adequate debridement of any damaged tissue is the key to better functional results, leading to the reduction of local (thrombosis, infection) and/or systemic (crush-syndromes, ischemia-reperfusion-syndromes)…