Schwarze M, Alimusaj M, Heitzmann D W W, Block J, Putz C, Wolf S I, Schiltenwolf M
Klinik für Orthopädie und Unfallchirurgie, Zentrum für Orthopädie, Unfallchirurgie und Paraplegiologie, Universitätsklinikum Heidelberg, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland.
Orthopade. 2020 Mar;49(3):238-247. doi: 10.1007/s00132-019-03750-5.
Although the number of major amputations is declining throughout Germany, more than 57,000 surgical procedures for amputation still take place. As a consequence of high prosthetic care costs, these often lead to disputes before the social court in which expert medical opinions are required. With knowledge of the legal norms, the remit of the expert opinion can be fulfilled. The expert begins with evaluation of the patient's file and a search of the contested parts. The investigation includes a medical history, in addition to a physical examination, in order to be able to comment on the disputed beneficial use of the therapeutic appliance and respond to questions of proof. Questionnaires may be helpful.
尽管德国的大截肢手术数量在不断下降，但仍有超过57000例截肢外科手术。由于假肢护理成本高昂，这些手术常常引发社会法庭的纠纷，而这类纠纷需要专业医学意见。了解法律规范后，就能完成专家意见的职责范围。专家首先会评估患者档案并查找有争议的部分。调查包括病史以及体格检查，以便能够就治疗器具的争议性有益用途发表意见并回应证据问题。问卷调查可能会有所帮助。
