PMID: 15385768Sep 24, 2004Paper

Tensor fasciae latae combined with tangentially split vastus lateralis musculocutaneous flap for the reconstruction of pressure sores

Annals of Plastic Surgery
Ming-Te LinYu-Li Yang

Abstract

Pressure sores in the ischial and the trochanteric regions are usually encountered in long-term bedridden and wheelchair-dependent patients. A number of techniques have been developed for the reconstruction of pressure sores. Tensor fasciae latae musculocutaneous flap has been extensively employed to close the trochanteric defect. Despite its utility of having a constant pedicle and proximal bulky muscle, the relative shortness of the flap and insufficient padding in the distal portion limit the applications for distant locations of pressure sores. From January 2001 to December 2003, 8 patients with ischial and trochanteric pressure sores underwent tensor fasciae latae reconstruction in combination with tangentially split vastus lateralis muscle. The descending branches of the lateral circumflex femoral arteries were also included in these flaps. All of the procedures have been successful, and no flap necrosis has been observed. Sufficient bulk of the flap and reliable distal skin paddle constitute the advantages of this flap.

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Citations

Sep 26, 2013·Surgery Today·Akira SaitoToshihisa Osanai
Aug 5, 2008·Archives of Physical Medicine and Rehabilitation·Diana H RintalaSally Ann Holmes
Jun 22, 2006·Clinical Orthopaedics and Related Research·Nho V TranStephen W Carmichael
May 19, 2005·Annals of Plastic Surgery·Gurcan AslanNurten Yavuz
Aug 26, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H LauerJ F Hernekamp

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