Evidence map›Paper›PMID 42878863›Full record

ReviewUnfallchirurgie (Heidelberg, Germany)2026

[The acute orthoplastic patient : Definition and initial management recommendations: consensus statement of the Orthoplastic Surgery Working Group of the German Society for Trauma Surgery (DGU) and the German Society of Plastic, Reconstructive and Aesthetic Surgeons (DGPRÄC)].

Klemens Horst, Benjamin Thomas, Jörg Böhme, Justus Beier

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Unfallchirurgie (Heidelberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Klemens HorstKlinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Uniklinik Münster, Albert-Schweitzer-Campus 1, Münster, Deutschland. uch@ukmuenster.de.
Benjamin ThomasKlinik für Hand‑, Plastische und Rekonstruktive Chirurgie, BG Klinik Ludwigshafen, Ludwigshafen, Deutschland.
Jörg BöhmeKlinik für Unfallchirurgie, Orthopädie und Spezialisierte Septische Chirurgie, Klinikum St, Georg, Leipzig, Deutschland.
Justus BeierKlinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Schwerbrandverletztenzentrum, Uniklinik RWTH Aachen, Aachen, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Orthoplastic surgery combines the expertise of trauma and orthopedic surgery with plastic and reconstructive surgery for the management of complex musculoskeletal injuries associated with extensive soft tissue defects. Its primary aim is to provide early, coordinated interdisciplinary care to restore skeletal stability, achieve durable soft tissue coverage, and maximize long-term function. An acute orthoplastic patient is defined as an individual with complex musculoskeletal and soft tissue injuries requiring close interdisciplinary collaboration between trauma, plastic, and, where appropriate, additional surgical specialties. Furthermore, associated factors such as vascular injuries, infection, or relevant comorbidities may necessitate an orthoplastic treatment approach. The following recommendations were agreed upon: Patients who are hemodynamically stable and without an acutely threatened limb should be transferred to an orthoplastic competence center as early as possible, ideally within 24 h after injury. If immediate transfer is not feasible, early structured telemedical consultation with standardized transmission of clinical information, imaging, and photographic documentation of the soft tissue injury is recommended. Management should follow a standardized treatment pathway including prompt initiation of empirical antibiotic therapy, interdisciplinary radical debridement, restoration of bone stability, early vascular assessment, and timely definitive reconstruction. Whenever feasible, definitive fracture fixation and soft tissue reconstruction should be performed simultaneously or within a short time interval. These consensus recommendations provide the first structured framework for defining, triaging, and managing acute orthoplastic patients and aim to promote standardized orthoplastic care in specialized centers.

Indexed as

Musculoskeletal systemOrthopaedic traumaOrthoplastic surgeryReconstructionSoft tissue defects

Identifiers

PMID42878863

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.