title: [The multidisciplinary approach to reconstructive surgery of the extremities-considerations for trauma and orthopedic surgery].
abstract: Interdisciplinary reconstructive surgery of the extremities involves a variety of indications ranging from IIIB/C open fractures with major segmental loss of bone and soft tissue, to arterial vessel injury necessitating vascular repair, and to biological, plastic reconstruction following resection of musculoskeletal tumors. The multidisciplinary approach involving trauma/orthopedic surgery combined with vascular, plastic, and neuro- resp. microsurgery has significantly increased the rate of limb-sparing operations and improved morbidity, function, quality of life, and long-term oncological outcome. The multidisciplinary treatment of both complex trauma and malignant bone/soft tissue sarcoma of the extremity is an integral task of surgical trauma and tumor centers. Close interactive communication between the individual surgical disciplines has decisively influenced prognosis and is the precondition for priority-adapted therapeutic strategies.
authors.affiliation: Zentrum für Muskuloskeletale Chirurgie, Klinik für Unfall- und Wiederherstellungschirurgie und Klinik für Orthopädie, Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum. klaus-dieter.schaser@charite.de
authors.forename: K-D
authors.initials: KD
authors.lastname: Schaser
authors.forename: I
authors.initials: I
authors.lastname: Melcher
authors.forename: U
authors.initials: U
authors.lastname: Settmacher
authors.forename: N P
authors.initials: NP
authors.lastname: Haas
mesh_terms: D000671:Amputation, Surgical / Q000534:rehabilitation; D001134:Arm Injuries / Q000601:surgery*; D001859:Bone Neoplasms / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery*; D019637:Orthopedic Procedures; D010348:Patient Care Team; D011183:Postoperative Complications / Q000534:rehabilitation*; D019651:Plastic Surgery Procedures; D012017:Referral and Consultation; D012086:Reoperation; D012983:Soft Tissue Neoplasms / Q000601:surgery; D014946:Wound Infection / Q000601:surgery*