Amit Jain’s Destructive Ladder in Diabetic Foot-akin and Antonymous to Reconstructive Ladder
Asian Journal of Research in Surgery,
Diabetes is one of the most common non-infectious diseases seen worldwide. Its incidence is rising at an alarming rate and so are its complications. Foot problems in diabetic patients are common in practice and they are frequent cause of hospitalization. Managing diabetic foot is expensive. Diabetic foot ulcers are prone for infections and they can result in amputation which can render the patient disabled. There are distinct varieties of amputation in lower limb and they can be divided into minor amputations and major amputations. Minor amputations are performed for limb salvage and they allow patient to ambulate on their own. The purpose of this article is to highlight on 2 teaching models namely the reconstructive ladder-a traditional teaching model in wound reconstructive surgery field and the destructive ladder-a newly proposed teaching model by the author for amputation.
- Diabetic foot
How to Cite
Banik PC, Barua L, Moniruzzaman M, et al. Risk of diabetic foot ulcer and its associated factors among Bangladeshi subjects: A multicentric cross-sectional study. BMJ Open. 2020;10:e034058.
Marzoq A, Shiaa N, Zaboon R, Baghlany Q, Alabbood MH. Assessment of the outcome of diabetic foot ulcers in Basrah, Southern Iraq: A cohort study. Int J Diabetes Metab. 2019;25:33-38.
Van Netten JJ, Woodburn J, Bus SA. The future for diabetic foot ulcer prevention: A paradigm shift from stratified healthcare towards personalized medicine. Diabetes Metab Res Rev. 2020;36(S1): e3234.
Biswas D, Wysocki RW, Fernandez JJ, Cohen MS. Local and regional flaps for hand coverage. J Hand Surg Am. 2014; 39(5):992-1004.
Kleintjes WG. The horizontal reconstructive ladder. S Afr J Plast Reconstr Aesthet Surg Burns. 2018; 1(1):19-20.
Sandhir RK. Learn to climb the simple reconstructive ladder for optimum results. Indian J Plast Surg. 2018;51(3): 331-332.
Janis JE, Kwon RK, Attinger CE. The new reconstructive ladder: Modifications to the traditional model. Plast Reconstr Surg. 2011;127:20155-2125.
Jain AKC. Amit Jain’s destructive ladder/amputation ladder and its variants. Saudi J Med. 2020;5(3):214-221.
Gottlieb LJ, Krieger LM. From the reconstructive ladder to the reconstructive elevator. Plast Reconstr Surg. 1994;93(7): 19503.
Saaiq M, Ashraf B. From reconstructive triangle to reconstructive quadrangle: Time to include tissue distraction in the reconstructive algorithms. World J Plast Surg. 2015;5(2):185-186.
Wong CJ, Niranjan N. Recons- tructive stages as an alternative to recons- tructive ladder. Plast Reconstr Surg. 2008; 121(5):362e-63e.
Damme HV, Limet R. Amputations in diabetic patients. Clin Podiatr Med Surg. 2007;24:569-82.
Jain AKC. Super modern diabetic foot surgery. Medicine Science; 2021.
Abstract View: 114 times
PDF Download: 78 times