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需求层次：肢体重建的基于问题的框架。

The Hierarchy of Needs: A Problem-based Framework for Extremity Reconstruction.

作者信息

Kareh Aurora M, Souza Jason M

机构信息

From the Department of Plastic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

出版信息

Plast Reconstr Surg Glob Open. 2024 Aug 7;12(8):e6037. doi: 10.1097/GOX.0000000000006037. eCollection 2024 Aug.

DOI:10.1097/GOX.0000000000006037
PMID:39114800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11305725/
Abstract

Plastic and reconstructive surgeons continually evolve their surgical strategies with the aim of achieving the optimal patient outcome. Numerous well-known frameworks intended to guide reconstructive planning have been introduced and are entrenched in plastic surgery education, but are limited in their scope due to their procedure-based construct. Here, we introduce the hierarchy of reconstructive needs: a problem-based reconstructive framework that shifts operative planning to the specific needs of the defect and goals for restoration of normality while allowing for further innovation and evolution beyond our existing surgical capabilities.

摘要

整形与重建外科医生不断改进他们的手术策略，旨在实现最佳的患者治疗效果。许多旨在指导重建规划的知名框架已被引入并在整形外科学教育中根深蒂固，但由于其基于手术步骤的构建方式，其范围有限。在此，我们引入重建需求层次体系：一个基于问题的重建框架，它将手术规划转向缺损的特定需求以及恢复正常的目标，同时允许在我们现有的手术能力之外进行进一步创新和发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/88da419c9caf/gox-12-e6037-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/b30134bbf4dd/gox-12-e6037-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/225cc25d3896/gox-12-e6037-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/2ecacd17f1a8/gox-12-e6037-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/1d683067fbfa/gox-12-e6037-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/d81ef9a1c119/gox-12-e6037-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/e0b2b983408b/gox-12-e6037-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/88da419c9caf/gox-12-e6037-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/b30134bbf4dd/gox-12-e6037-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/225cc25d3896/gox-12-e6037-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/2ecacd17f1a8/gox-12-e6037-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/1d683067fbfa/gox-12-e6037-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/d81ef9a1c119/gox-12-e6037-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/e0b2b983408b/gox-12-e6037-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ad9/11305725/88da419c9caf/gox-12-e6037-g007.jpg

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本文引用的文献

1
A New Problem Analysis and Strategy Selection in Reconstructive Surgery.重建外科中的新问题分析与策略选择
Ann Plast Surg. 2023 Nov 1;91(5):505-508. doi: 10.1097/SAP.0000000000003661. Epub 2023 Aug 19.
2
Aesthetic Considerations in Extremity Salvage and Reconstruction.四肢保肢与重建中的美学考虑。
Plast Reconstr Surg. 2023 Apr 1;151(4):679e-687e. doi: 10.1097/PRS.0000000000010034. Epub 2023 Mar 29.
3
Augmented Skin Grafting: A New Rung in the Reconstructive Ladder.增强性皮肤移植：重建阶梯中的新一级。
Facial Plast Surg Aesthet Med. 2022 Mar-Apr;24(2):126-129. doi: 10.1089/fpsam.2021.0112. Epub 2021 Nov 13.
4
Reconstruction 2.0: Restructuring the Reconstructive Ladder.重建2.0：重塑重建阶梯
Plast Reconstr Surg. 2021 Mar 1;147(3):572e-573e. doi: 10.1097/PRS.0000000000007664.
5
Revisiting the reconstructive surgery framework: The reconstruction supermarket.重新审视重建手术框架：重建超市。
J Plast Reconstr Aesthet Surg. 2019 Apr;72(4):529-531. doi: 10.1016/j.bjps.2019.01.022. Epub 2019 Feb 10.
6
The reconstructive pyramid: redefining our yardsticks.重建金字塔：重新定义我们的衡量标准。
Plast Reconstr Surg. 2014 May;133(5):733e-734e. doi: 10.1097/PRS.0000000000000115.
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The new reconstructive ladder: modifications to the traditional model.新的重建阶梯：对传统模型的修改。
Plast Reconstr Surg. 2011 Jan;127 Suppl 1:205S-212S. doi: 10.1097/PRS.0b013e318201271c.
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The reconstructive matrix: a new paradigm in reconstructive plastic surgery.重建基质：整形重建外科的一种新范式。
Plast Reconstr Surg. 2010 Aug;126(2):492-498. doi: 10.1097/PRS.0b013e3181de232b.
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Plastic peregrinations.塑料之旅。
Plast Reconstr Surg (1946). 1950 Jan;5(1):26-53, illust. doi: 10.1097/00006534-195001000-00002.
10
From the reconstructive ladder to the reconstructive elevator.从重建阶梯到重建电梯。
Plast Reconstr Surg. 1994 Jun;93(7):1503-4. doi: 10.1097/00006534-199406000-00027.