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Handchir Mikrochir Plast Chir 2015; 47(03): 190-195
DOI: 10.1055/s-0035-1550043
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© Georg Thieme Verlag KG Stuttgart · New York

Dekompression peripherer Nerven als Behandlungskonzept der diabetischen Polyneuropathie

Decompression of Peripheral Nerves in the Treatment of Diabetic Polyneuropathy
T. Fuchsberger
1   BG Unfallklinik Tübingen, Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie an der Eberhard Karls Universität Tübingen, Tübingen
,
P. Jaminet
1   BG Unfallklinik Tübingen, Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie an der Eberhard Karls Universität Tübingen, Tübingen
,
P. Gonser
1   BG Unfallklinik Tübingen, Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie an der Eberhard Karls Universität Tübingen, Tübingen
,
T. Manoli
1   BG Unfallklinik Tübingen, Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie an der Eberhard Karls Universität Tübingen, Tübingen
,
H.-E. Schaller
1   BG Unfallklinik Tübingen, Klinik für Hand-, Plastische, Rekonstruktive und Verbrennungschirurgie an der Eberhard Karls Universität Tübingen, Tübingen
,
O. Aszmann
2   Zentrum für Extremitätenrekonstruktion und Rehabilitation, Abteilung für Plastische und Wiederherstellende Chirurgie, Medizinische Universität Wien, Wien
› Author Affiliations
Further Information

Publication History

eingereicht 23 September 2014

akzeptiert 05 May 2015

Publication Date:
17 June 2015 (online)

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Zusammenfassung

Die Polyneuropathie als Spätfolge der diabetischen Erkrankung mit ihren Konsequenzen Ulzeration und Amputation wird in ihrer pathophysiologischen Ursache, ihrer sozioökonomischen und sozialmedizinischen Relevanz kurz skizziert und die Ergebnisse der Dekompression peripherer Nerven an der unteren Extremität anhand einer systematischen Literaturrecherche in Pubmed, Embase und Cochrane gelisteten Journalen hinsichtlich Sensibilität, Schmerz, Ulzeration und Amputation analysiert und ausgewertet. Die Dekompression peripherer Nerven erweist sich als sehr gutes Behandlungskonzept zur Wiederherstellung bzw. Verbesserung der Sensibilität, Verminderung der Schmerzsymptomatik und Reduktion von Ulzerationen und Amputationen.

Abstract

Polyneuropathy causing ulceration and amputation as a long-term consequence of diabetes mellitus is analysed for its pathophysiology, socioeconomic and medical relevance. Outcomes of decompression of peripheral nerves on the lower extremity regarding sensation, pain, development, and recurrence of ulceration, and amputation is evaluated by a systematic literature review in pubmed, medline and embase. Decompression of peripheral nerves in diabetic peripheral neuropathy seems to be a good treatment option for restoring sensation, decreasing pain, as well as for avoiding the development and recurrence of ulceration and amputation.

Schlüsselwörter

periphere Nerven - Diabetes mellitus - Polyneuropathie - untere Extremität - Dekompression

Key words

peripheral nerves - diabetes mellitus - polyneuropathy - lower extremity - decompression
 

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