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The Orthoplastic Approach
Kaamya Varagur1, Stephen J Kovach1, L Scott Levin2
1Division of Plastic Surgery, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Clinics in Plastic Surgery
|May 23, 2026
Summary
The orthoplastic approach integrates multiple specialists for lower extremity wound reconstruction. This strategy focuses on prompt tissue repair and early rehabilitation to improve patient outcomes.
Area of Science:
- Orthopedic Surgery
- Plastic Surgery
- Wound Care
Background:
- Lower extremity wounds require complex, multidisciplinary management.
- Traditional approaches may not fully address bony and soft tissue defects concurrently.
- Early rehabilitation is crucial for optimal functional recovery.
Purpose of the Study:
- To review the orthoplastic algorithm for lower extremity wound reconstruction.
- To highlight technical innovations in the field.
- To discuss ongoing research in orthoplastic surgery.
Main Methods:
- Review of the general orthoplastic algorithm.
- Discussion of assessment and management strategies for composite defects.
- Highlighting technical advancements and research.
Main Results:
- The orthoplastic approach offers a structured algorithm for complex lower extremity wounds.
- It emphasizes simultaneous bony and soft tissue reconstruction.
- Early rehabilitation is integral to the process.
Conclusions:
- The orthoplastic approach optimizes outcomes for lower extremity wounds.
- It represents a significant advancement in reconstructive surgery.
- Continued innovation is driving the field forward.
