Abstract
The tensor fascia lata (TFL) flap has been successfully used for decades for coverage of hip defects, particularly trochanteric pressure sores. Flap can also be employed to reconstruct defects within the groin, gluteal, ischial, and lower abdominal regions. Flap may be designed as a pedicled or free flap, depending on the region requiring coverage. Flap has a predictable, consistent vascular pedicle based on the transverse branch of the lateral femoral circumflex artery. Several design modifications have been described to avoid dog-ear creation during rotation. These include V-Y advancement and hatchet-shaped flap. In this section, we will describe the tensor fascia lata V-Y musculocutaneous flap for coverage of trochanteric pressure ulcer. Flap is elevated, advanced, and rotated posterior-superior into the defect. Donor site can often be closed primarily. Otherwise, a split thickness graft is used. Favorable outcomes can be achieved with appropriate technique and post-operative care with special attention to wound care, pressure off-loading, and optimization of nutrition and physical rehabilitation.
| Original language | English (US) |
|---|---|
| Title of host publication | Operative Dictations in Plastic and Reconstructive Surgery |
| Publisher | Springer International Publishing |
| Pages | 605-607 |
| Number of pages | 3 |
| ISBN (Electronic) | 9783319406312 |
| ISBN (Print) | 9783319406299 |
| DOIs | |
| State | Published - Jan 1 2016 |
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Keywords
- Gluteal
- Ischial
- Lower abdominal wall reconstruction
- Musculocutaneous flap
- Pressure ulcer
- Soft tissue coverage of hip defects
- Tensor fascia lata
- Trochanteric
- V-Y advancement flap
ASJC Scopus subject areas
- Medicine(all)
Cite this
Tensor fascia lata musculocutaneous flap for trochanteric pressure ulcer coverage. / Rubio, Gustavo A.; McGee, Christie S.; Thaller, Seth.
Operative Dictations in Plastic and Reconstructive Surgery. Springer International Publishing, 2016. p. 605-607.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Tensor fascia lata musculocutaneous flap for trochanteric pressure ulcer coverage
AU - Rubio, Gustavo A.
AU - McGee, Christie S.
AU - Thaller, Seth
PY - 2016/1/1
Y1 - 2016/1/1
N2 - The tensor fascia lata (TFL) flap has been successfully used for decades for coverage of hip defects, particularly trochanteric pressure sores. Flap can also be employed to reconstruct defects within the groin, gluteal, ischial, and lower abdominal regions. Flap may be designed as a pedicled or free flap, depending on the region requiring coverage. Flap has a predictable, consistent vascular pedicle based on the transverse branch of the lateral femoral circumflex artery. Several design modifications have been described to avoid dog-ear creation during rotation. These include V-Y advancement and hatchet-shaped flap. In this section, we will describe the tensor fascia lata V-Y musculocutaneous flap for coverage of trochanteric pressure ulcer. Flap is elevated, advanced, and rotated posterior-superior into the defect. Donor site can often be closed primarily. Otherwise, a split thickness graft is used. Favorable outcomes can be achieved with appropriate technique and post-operative care with special attention to wound care, pressure off-loading, and optimization of nutrition and physical rehabilitation.
AB - The tensor fascia lata (TFL) flap has been successfully used for decades for coverage of hip defects, particularly trochanteric pressure sores. Flap can also be employed to reconstruct defects within the groin, gluteal, ischial, and lower abdominal regions. Flap may be designed as a pedicled or free flap, depending on the region requiring coverage. Flap has a predictable, consistent vascular pedicle based on the transverse branch of the lateral femoral circumflex artery. Several design modifications have been described to avoid dog-ear creation during rotation. These include V-Y advancement and hatchet-shaped flap. In this section, we will describe the tensor fascia lata V-Y musculocutaneous flap for coverage of trochanteric pressure ulcer. Flap is elevated, advanced, and rotated posterior-superior into the defect. Donor site can often be closed primarily. Otherwise, a split thickness graft is used. Favorable outcomes can be achieved with appropriate technique and post-operative care with special attention to wound care, pressure off-loading, and optimization of nutrition and physical rehabilitation.
KW - Gluteal
KW - Ischial
KW - Lower abdominal wall reconstruction
KW - Musculocutaneous flap
KW - Pressure ulcer
KW - Soft tissue coverage of hip defects
KW - Tensor fascia lata
KW - Trochanteric
KW - V-Y advancement flap
UR - http://www.scopus.com/inward/record.url?scp=85029115620&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85029115620&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-40631-2_149
DO - 10.1007/978-3-319-40631-2_149
M3 - Chapter
SN - 9783319406299
SP - 605
EP - 607
BT - Operative Dictations in Plastic and Reconstructive Surgery
PB - Springer International Publishing
ER -