View source for Reconstructive ladder

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'''Editors-In-Chief:'''  Martin I. Newman, M.D., FACS, Cleveland Clinic Florida, [mailto:Newmanm@ccf.org]; [[User:Mcs|Michel C. Samson, M.D., FRCSC, FACS]] [mailto:samsonm1@ccf.org]

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==Overview==
The '''reconstructive ladder''' is a term coined by reconstructive [[plastic surgeon]]s to describe levels of increasingly complex management of wounds.<ref>ABC of wound healing: BMJ 2006;332;710-712 Reconstructive surgery, D. E. Boyce, K. Shokrollahi</ref>

==The ladder==
There are several small variations in the reconstructive ladder<ref>[http://student.bmj.com/back_issues/0803/education/271.html sBMJ<!-- Bot generated title -->]</ref><ref>Orthop Clin North Am. 1993 Jul;24(3):393-409, The reconstructive ladder. An orthoplastic approach, L. Levin</ref> in the scientific literature, but the principles remains the same:
  
Rung 1: healing by secondary intention<br />
Rung 2: primary closure<br />
Rung 3: delayed primary closure<br />
Rung 4: split thickness graft<br />
Rung 5: full thickness skin graft<br />
Rung 6: tissue expansion<br />
Rung 7: random pattern flap<br />
Rung 8: pedicled flap<br />
Rung 9: free flap<br /> 

==References==
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{{Plastic surgery}}
{{Cleft lip and palate}}
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[[Category:Plastic surgery]]