• Der Unfallchirurg · Sep 2004

    Review

    [Interdisciplinarity in reconstructive surgery of the extremities].

    • K-D Schaser, I Melcher, U Stöckle, H J Bail, G Puhl, U Settmacher, and N P Haas.
    • Zentrum für Muskoskeletale Chirurgie, Klinik für Unfall- und Wiederherstellungschirurgie und Klinik für Orthopädie, Charité-Universitätsmedizin Berlin. klaus-dieter.schaser@charite.de
    • Unfallchirurg. 2004 Sep 1; 107 (9): 732743732-43.

    AbstractFrom the perspective of trauma and orthopedic surgery interdisciplinary reconstructive surgery of the extremities encompasses different indications ranging from IIIB/Copen fractures with major segmental loss of bone and soft tissue, to arterial vessel in-jury necessitating vascular repair and to biological, plastic reconstructions following resections of musculoskeletal tumors. The interdisciplinary treatment concept including trauma-orthopedic surgery combined with vascular, plastic and neuro- as well as microsurgery has significantly decreased amputation rates and functional deficits thereby improving quality of life and long-term oncological outcome The multisdisciplinary management of both complex trauma and malignant bone/ soft tissue sarcoma of the extremity is an integral task of the surgical trauma or tumor center. Close interdisciplinary communication and expierence are the precondition for performance of a priority-adapted therapeutic strategy, low complication rates and improvement of overall prognosis.

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