[Interdisciplinarity in reconstructive surgery of the extremities].
From 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.
Schaser
K-D
KD
Zentrum für Muskoskeletale Chirurgie, Klinik für Unfall- und Wiederherstellungschirurgie und Klinik für Orthopädie, Charité-Universitätsmedizin Berlin. klaus-dieter.schaser@charite.de
Melcher
I
I
Stöckle
U
U
Bail
H J
HJ
Puhl
G
G
Settmacher
U
U
Haas
N P
NP
D005121:Extremities / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D033183:Interdisciplinary Communication; D019637:Orthopedic Procedures / Q000379:methods*; D010348:Patient Care Team; D010818:Practice Patterns, Physicians'; D019651:Plastic Surgery Procedures / Q000379:methods*