Schaser K-D, Melcher I, Stöckle U, Bail H J, Puhl G, Settmacher U, Haas N P
Zentrum für Muskoskeletale Chirurgie, Klinik für Unfall- und Wiederherstellungschirurgie und Klinik für Orthopädie, Charité-Universitätsmedizin Berlin.
Unfallchirurg. 2004 Sep;107(9):732-43. doi: 10.1007/s00113-004-0844-5.
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.
从创伤与骨科手术的角度来看，四肢的跨学科重建手术涵盖了不同的适应症，范围从伴有主要骨和软组织节段性缺失的IIIB/C型开放性骨折，到需要血管修复的动脉血管损伤，再到肌肉骨骼肿瘤切除后的生物性、整形重建。包括创伤骨科手术与血管、整形、神经以及显微外科相结合的跨学科治疗理念，显著降低了截肢率和功能缺陷，从而改善了生活质量和长期肿瘤治疗结果。四肢复杂创伤和恶性骨/软组织肉瘤的多学科管理是外科创伤或肿瘤中心的一项重要任务。密切的跨学科沟通和经验是实施优先适应治疗策略、降低并发症发生率和改善总体预后的前提条件。
