The New Reconstructive Ladder: Modifications to the Traditional Model

The New Reconstructive Ladder: Modifications to the Traditional Model
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DOI:
10.1097/prs.0b013e318201271c
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发表时间:
2011-01-01
影响因子:
3.6
通讯作者:
Attinger, Christopher E.
Attinger, Christopher E.
中科院分区:
医学1区
文献类型:
--
作者:
Janis, Jeffrey E.;Kwon, Robert K.;Attinger, Christopher E.

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传统的重建阶梯经受住了时间的考验,成为指导外科医生为各种缺陷选择伤口闭合方法的思维范式。在解剖学理解和技术创新方面的进步提高了我们在各种各样的患者中实现最终闭合的能力。在这篇文章中,旧的结构被更新,以反映负压伤口治疗和真皮基质的使用。还讨论了穿孔瓣的概念,将其作为梯子上的一个梯级。(最后一次。重新构造手术127(补充):205秒,2011年。)
The traditional reconstructive ladder has withstood the test of time, serving as a thought paradigm to guide surgeons in choosing their method of wound closure for an assortment of defects. Advances in anatomical understanding and technological innovations have improved our ability to achieve definitive closure in a wide variety of patients. In this article, the older construct is updated to reflect the use of negative-pressure wound therapy and dermal matrices. Perforator flap concepts are also discussed in terms of their inclusion as a rung on the ladder. (Plast. Reconstr. Surg. 127 (Suppl.): 205S, 2011.)