Tensor Fascia Lata Flap Versus Tensor Fascia Lata Perforator-Based Island Flap for the Coverage of Extensive Trochanteric Pressure Sores

2013 ◽  
Vol 70 (6) ◽  
pp. 684-690 ◽  
Author(s):  
Youn Hwan Kim ◽  
Sang Wha Kim ◽  
Jeong Tae Kim ◽  
Chang Yeon Kim
2013 ◽  
Vol 33 (1) ◽  
pp. 290-296
Author(s):  
Özlenen ÖZKAN ◽  
Ömer ÖZKAN ◽  
Anı CİNPOLAT ◽  
Gamze BEKTAŞ ◽  
Tunç ŞAFAK

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Md. Sohaib Akhtar ◽  
Mohd Fahud Khurram ◽  
Arshad Hafeez Khan

Aims and Objectives. The aim of this study was to evaluate the versatility of pedicled tensor fascia lata flap for reconstruction of various anatomical regions. Materials and Methods. In this retrospective study a total of 34 patients with defects over various anatomical regions were included. The defects were located over the trochanter (n=12), groin (n=8), perineum (n=6), lower anterior abdomen (n=6), gluteal region (n=1), and ischial region (n=1). The etiology of defects included trauma (n=12), infection (n=8), pressure sores (n=8), and malignancy (n=6). Reconstruction was performed using pedicled tensor fascia lata flaps. Patients were evaluated in terms of viability of the flap and donor site morbidity. The technical details of the operative procedure have also been outlined. Results. All the flaps survived well except 5 patients in which minor complications were noted and 1 who experienced complete flap loss. Of those with minor complications, 1 patient developed distal marginal necrosis and 1 developed infection which subsided within three days by dressings and antibiotics and in 2 patients partial loss of the skin graft occurred at the donor site out of which 1 required regrafting and another one healed completely with dressing and antibiotics. All the patients were followed up for an average period of 6 months, ranging from 1 to 12 months. Donor site morbidity was minimal. Conclusion. It was concluded that the pedicled tensor fascia lata flap is a versatile, reliable, easy, and less time consuming procedure for the coverage of defects around trochanter, groin, lower anterior abdomen, perineum, and ischial region.


Author(s):  
Ömer Özkan ◽  
O. Koray Coşkunfirat

1981 ◽  
Vol 7 (4) ◽  
pp. 286-288 ◽  
Author(s):  
John H. Cochran ◽  
Lee E. Edstrom ◽  
David G. Dibbell

2004 ◽  
Vol 27 (2) ◽  
pp. 61-67 ◽  
Author(s):  
M. Karapandic ◽  
M. Jovanovic ◽  
P. Stefanovic ◽  
M. Colic ◽  
R. Ronevic ◽  
...  

2005 ◽  
Vol 54 (6) ◽  
pp. 637-639 ◽  
Author(s):  
Gurcan Aslan ◽  
Dogan Tuncali ◽  
Ferruh Bingul ◽  
Levent Ates ◽  
Nurten Yavuz

1997 ◽  
Vol 5 (4) ◽  
pp. 213-216
Author(s):  
Daniel álvaro Alvarez Lazo ◽  
Olímpio Colicchio Filho ◽  
Ricardo Galvão Chaim ◽  
Paula Zuccolotto Moro

There are several alternatives for pressure sore reconstruction, but it is of utmost importance that an appropriate surgical technique be adopted, because although treatment is successful, recurrence of these ulcers is frequent. The purpose of this study was to conduct a precise evaluation of the V-Y tensor fascia lata flap, pointing out its advantages compared with the classical flap and with other possibilities described in the literature. The author employed 20 V-Y tensor fascia lata flaps to correct 20 trochanteric ulcers. The use of the classical tensor fascia lata flap to cover trochanteric ulcers is unquestionable. However, primary closure for flaps wider than 10 cm is difficult, necessitating an eventual skin grafting of the donor site. The V-Y tensor fascia lata allows a covering similar to the classical flap, simplifies primary closure and essentially presents the possibility of numerous reutilizations.


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