ePlasty: Vol. 18
The Gillies' approach to posttraumatic reconstruction in evidence a century later
A comparison is made between preoperative evaluation, reconstruction, and outcome in the era of Sir Harold Gillies, one hundred years ago, and those of today.
The Gillies's Approach to posttraumatic reconstruction of ballistic injuries in evidence a century later
Michele A. Manahan, MD, FACS, and Stephen M. Milner, MB BS, BDS, DSc, FRCS (Ed), FACS

Johns Hopkins University School of Medicine


Correspondence: stephenmilner123@gmail.com

Forged from the fires of World War I, Gillies’ methods of posttraumatic reconstruction were revolutionary and represent a concrete foundation upon which is built the field of modern reconstructive surgery. Similarities and differences in preoperative evaluation, intraoperative methodology, and outcomes between Gillies's era and modern times may be appreciated through the juxtaposition of Gillies's original notes and photographs with those from a similar case recently treated at a tertiary care, inner city, teaching hospital.

The demographics of victims are similar, involving predominantly young healthy men, with injuries often limited to the head and upper torso. Multi-disciplinary treatment was established by Gillies and remains a constant aspect of care today. Another distinction is that Gillies most frequently encountered patients who .......