Background: The reconstructive ladder is an old concept
that is familiar to all plastic surgeons. It is an arrangement of
methods to reconstruct tissue defects from the easy to most
complex one. With the advent of surgery, a lot of flimsy spots
and difficulties showed up and yet showing up with the
utilization of this old reconstructive stepping stool.
Objective: In this work, the authors will present another
view of the reconstructive ladder that they incited that is more
valuable to the patient than the bygone one.
Patients and Methods: The authors discussed six clinical
cases. In each case, a travel study comparing the use of all
the steps of the ladder to reach the best.
Results: The discussion of the clinical cases that included
other reconstructive options demonstrated and affirmed the
requirement for modifications in the reconstructive ladder.
Conclusion: The addition of the pedicled freestyle perforator
flap would be a valuable update to the reconstructive
ladder. The reconstructive Ladder is better viewed and organized
as an order of beneficial priority to the patients rather
than a classification of reconstructive options from simplicity
to sophistication.