The New Reconstructive Ladder: Modifications to the Traditional Model

被引：173
作者：
Janis, Jeffrey E. [1 ]
Kwon, Robert K.
Attinger, Christopher E.
机构：
[1] Univ Texas SW Med Ctr Dallas, Dept Plast Surg, Dallas, TX 75390 USA
来源：
PLASTIC AND RECONSTRUCTIVE SURGERY | 2011年 / 127卷 / 01期
关键词：
VACUUM-ASSISTED CLOSURE; ARTIFICIAL DERMIS; WOUND THERAPY; INTEGRA; MANAGEMENT; FLAPS; STATE;
D O I：
10.1097/PRS.0b013e318201271c
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
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.)
引用
收藏
页码：205S / 212S
页数：8
相关论文
共 29 条
  • [1] Vacuum-assisted closure: State of clinic art
    Argenta, Louis C.
    Morykwas, Michael J.
    Marks, Malcolm W.
    DeFranzo, Anthony J.
    Molnar, Joseph A.
    David, Lisa R.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 117 (07) : 127S - 142S
  • [2] Bhavsar Dhaval, 2008, Eplasty, V8, pe33
  • [3] Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: A multicenter randomized controlled trial
    Blume, Peter A.
    Walters, Jodi
    Payne, Wyatt
    Ayala, Jose
    Lantis, John
    [J]. DIABETES CARE, 2008, 31 (04) : 631 - 636
  • [4] Acute complex traumas of the lower limbs: a modern reconstructive approach with negative pressure therapy
    Bollero, Daniele
    Carnino, Riccardo
    Risso, Daniela
    Gangemi, Ezio N.
    Stella, Maurizio
    [J]. WOUND REPAIR AND REGENERATION, 2007, 15 (04) : 589 - 594
  • [5] The clinical efficacy and cost effectiveness of the vacuum-assisted closure technique in the management of acute and chronic wounds: A randomized controlled trial
    Braakenburg, Assa
    Obdeijn, Miryam C.
    Feitz, Reinier
    van Rooij, Iris A. L. M.
    van Griethuysen, Arjanne J.
    Klinkenbijl, Jean H. G.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 118 (02) : 390 - 397
  • [6] Reconstruction of full thickness scalp defects after tumour excision in elderly patients: Our experience with Integra® dermal regeneration template
    Corradino, B.
    Di Lorenzo, S.
    Barone, A. A. Leto
    Maresi, E.
    Moschella, F.
    [J]. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2010, 63 (03) : E245 - E247
  • [7] Reconstructive surgery using an artificial dermis (Integra): results with 39 grafts
    Dantzer, E
    Braye, FM
    [J]. BRITISH JOURNAL OF PLASTIC SURGERY, 2001, 54 (08): : 659 - 664
  • [8] The use of vacuum-assisted closure therapy for the treatment of lower-extremity wounds with exposed bone
    DeFranzo, AJ
    Argenta, LC
    Marks, MW
    Molnar, JA
    David, LR
    Webb, LX
    Ward, WG
    Teasdall, RG
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2001, 108 (05) : 1184 - 1191
  • [9] The Reconstructive Matrix: A New Paradigm in Reconstructive Plastic Surgery
    Erba, Paolo
    Ogawa, Rei
    Vyas, Raj
    Orgill, Dennis P.
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 2010, 126 (02) : 492 - 498
  • [10] Simple approach to the radiated scalp wound using INTEGRA skin substitute
    Gonyon, DL
    Zenn, MR
    [J]. ANNALS OF PLASTIC SURGERY, 2003, 50 (03) : 315 - 320
123