The reconstructive microsurgery ladder in orthopaedics.
Since the advent of the operating microscope by Julius Jacobson in 1960, reconstructive microsurgery has become an integral part of extremity reconstruction and orthopaedics. During World War I, with the influx of severe extremity trauma Harold Gillies introduced the concept of the reconstructive ladder for wound closure. The concept of the reconstructive ladder goes from simple to complex means of attaining wound closure. Over the last half century microsurgery has continued to evolve and progress. We now have a microsurgical reconstructive ladder. The microsurgical reconstruction ladder is based upon the early work on revascularization and replantation extending through the procedures that are described in this article.
University of Pennsylvania, Philadelphia, PA, United States.
Scott M
SM
Tintle
University of Pennsylvania, Philadelphia, PA, United States. Electronic address: scott.levin@uphs.upenn.edu.
L Scott
LS
Levin
D000925:Anticoagulants; D006493:Heparin; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008866:Microsurgery / Q000266:history / Q000639:trends; D009985:Orthopedics / Q000266:history / Q000639:trends; D019651:Plastic Surgery Procedures / Q000266:history / Q000639:trends; D012092:Replantation / Q000266:history; D013518:Surgery, Plastic / Q000266:history / Q000639:trends; D013524:Surgical Flaps / Q000266:history / Q000639:trends; D014182:Transplantation, Autologous / Q000266:history; D014184:Transplantation, Homologous / Q000266:history
D000925:Anticoagulants; D006493:Heparin