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Join my free Skool community for aspiring surgeons: https://www.skool.com/lets-learn-surg... 🧠 The Reconstructive Ladder: Closure, Grafts, and Flaps Explained What is the reconstructive ladder, and how can it help you understand wound closure strategies? In this conceptual surgical education video, we explore the three core steps of the reconstructive ladder: 1. Closure – primary intention, secondary intention, vacuum-assisted closure, and the so-called tertiary intention 2. Grafts – split-thickness and full-thickness skin grafts 3. Flaps – local, pedicled, and free flaps This framework helps make sense of complex soft tissue decisions by breaking them down into progressive levels of complexity, from simple closure to advanced microsurgical techniques. 🎯 What You’ll Learn How surgeons assess wounds using patient and wound factors The logic behind selecting closure vs graft vs flap Key principles behind reconstructive decision-making How this concept simplifies exam prep and clinical understanding 👨⚕️ Target Audience MRCS Part A & B candidates Medical students interested in surgery Anyone learning orthopaedics or plastic surgery from first principles 📚 Key Topics Reconstructive ladder Wound healing principles Skin grafts (STSG, FTSG) Local and free flaps Soft tissue reconstruction Plastic surgery concepts ⚠️ Disclaimer This video is for educational purposes only and is not a clinical guide. Always follow your local guidelines, surgical protocols, and clinical supervision. 🎨 Image Credits AI-Generated Medical Illustrations Created by Aaro.blog LTD using OpenAI generative tools. Free for commercial use by Aaro.blog LTD. No institutional affiliations or endorsements implied. Wikimedia Commons (CC BY-SA 4.0 Licensed): 1. Diagram showing breast reconstruction using the latissimus dorsi muscle and an implant © Cancer Research UK / Wikimedia Commons. CC BY-SA 4.0. Source: https://commons.wikimedia.org/wiki/Fi... 2. Diagram showing the area removed for a DIEP breast reconstruction © Cancer Research UK / Wikimedia Commons. CC BY-SA 4.0. Source: https://commons.wikimedia.org/wiki/Fi... 👤 About Dr Aaro Kari Dr Aaro Kari is a UK doctor and educator building tools to help you master surgery from first principles. Learn more at https://aaro.blog 📩 For future flashcard decks and anatomy learning tools, stay tuned to this channel. #reconstructiveladder #medicaleducation #anatomyexplained #plasticsurgery ----- Created by Aaro Kari for Aaro.blog LTD. Registered number: 12724787. Registered in England and Wales. Registered address: 85 Great Portland Street, First Floor, W1W 7LT, London, United Kingdom. Contact email address: [email protected]. To contact us non-electronically, please send us a letter. Created for entertainment and educational purposes only. Nothing displayed in this video or on this YouTube channel should be taken to constitute medical advice.