Rekonstruktion der unteren Extremität im Alter – ein interdisziplinärer Ansatz
| Autor: | F. Weil, G. Wittenberg, Benjamin Thomas, A. Schäfer, Ulrich Kneser, G. Reiter, Paul Alfred Grützner, C. Kühner |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Perioperative management business.industry medicine.medical_treatment Geriatric assessment Vascular surgery Revascularization medicine.disease Functional reconstruction 03 medical and health sciences 0302 clinical medicine Geriatric trauma 030220 oncology & carcinogenesis medicine 030211 gastroenterology & hepatology Surgery Intensive care medicine business Radiation treatment planning Major amputation |
| Zdroj: | Der Chirurg. 90:795-805 |
| ISSN: | 1433-0385 0009-4722 |
| DOI: | 10.1007/s00104-019-01022-8 |
| Popis: | Complex injuries of the lower extremities in geriatric patients with multiple pre-existing comorbidities represent an increasing challenge to an interdisciplinary team of surgeons. Functional reconstruction of the extremity through osteosynthesis, revascularization and defect coverage aims to preserve mobility and achieve an early return to activities of daily life at home, while avoiding major amputation and the associated risks regarding morbidity and mortality. An interdisciplinary assessment of geriatric patients regarding dystrophy of soft tissue and skin, cardiovascular and metabolic comorbidities as well as specific geriatric diagnostics are crucial steps in ensuring favorable outcomes. Perioperatively, all improvable risk factors should be actively optimized and a specialized interdisciplinary approach to treatment planning (extremity board) is absolutely necessary for success of treatment. It outlines the special features of the geriatric assessment, diagnostics, perioperative management and treatment targets. |
| Databáze: | OpenAIRE |
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