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Verfasst von:Biehl, Christoph [VerfasserIn]   i
 Biehl, Lotta [VerfasserIn]   i
 Tarner, Ingo Helmut [VerfasserIn]   i
 Müller-Ladner, Ulf [VerfasserIn]   i
 Heiß, Christian [VerfasserIn]   i
 Heinrich, Martin [VerfasserIn]   i
Titel:Microangiopathy in inflammatory diseases
Titelzusatz:strategies in surgery of the lower extremity
Verf.angabe:Christoph Biehl, Lotta Biehl, Ingo Helmut Tarner, Ulf Müller-Ladner, Christian Heiss and Martin Heinrich
E-Jahr:2022
Jahr:28 January 2022
Umfang:10 S.
Fussnoten:Gesehen am 06.04.2022
Titel Quelle:Enthalten in: Life
Ort Quelle:Basel : MDPI, 2011
Jahr Quelle:2022
Band/Heft Quelle:12(2022), 2, Artikel-ID 200, Seite 1-10
ISSN Quelle:2075-1729
Abstract:Background: Patients with an inflammatory disease frequently develop chronic angiopathy of the capillaries. Due to this pathology, there is an increased rate of complications in lower extremity surgical procedures. It is not uncommon for microangiopathic wound healing disorders to cause deep infections and fistulas, which lead to prolonged courses and hospitalizations. In addition, adhesions and ossifications of the contractile elements occur regularly. This sometimes results in serious limitations of the mobility of the patients. The study aims to present the results of a combination of vacuum and physical therapy. Patient and methods: A retrospective study of six patients with systemic sclerosis undergoing joint-related procedures of the lower extremity between 2015 and 2020 was performed. In addition to characterization of the patients and therapy, special attention was paid to cutaneous wound healing, affection of the fascia and displacement layers, and sclerosis of the muscle and tendon insertion. Results: The characterized structures (skin, tendon, fascia) show pathological changes at the microangiopathic level, which are associated with delayed healing and less physical capacity. Early suture removal regularly results in secondary scar dehiscence. With a stage-adapted vacuum therapy with sanitation of the deep structures and later on a dermal vacuum system, healing with simultaneous mobilization of the patients could be achieved in our patient cohort. Conclusion: In the case of necessary interventions on the lower extremity, such as trauma surgery, additional decongestive measures in the sense of regular and sustained lymphatic therapy and adapted physiotherapy are indispensable.
DOI:doi:10.3390/life12020200
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.3390/life12020200
 Volltext: https://www.mdpi.com/2075-1729/12/2/200
 DOI: https://doi.org/10.3390/life12020200
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:lower extremity
 surgical treatment
 systemic sclerosis
 vacuum therapy
K10plus-PPN:1797415719
Verknüpfungen:→ Zeitschrift

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