Tensor fascia lata musculocutaneous flap for trochanteric pressure ulcer coverage

Gustavo A. Rubio, Christie S. McGee, Seth Thaller

Research output: Chapter in Book/Report/Conference proceedingChapter

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 languageEnglish (US)
Title of host publicationOperative Dictations in Plastic and Reconstructive Surgery
PublisherSpringer International Publishing
Pages605-607
Number of pages3
ISBN (Electronic)9783319406312
ISBN (Print)9783319406299
DOIs
StatePublished - Jan 1 2016

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)

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  • Cite this

    Rubio, G. A., McGee, C. S., & Thaller, S. (2016). Tensor fascia lata musculocutaneous flap for trochanteric pressure ulcer coverage. In Operative Dictations in Plastic and Reconstructive Surgery (pp. 605-607). Springer International Publishing. https://doi.org/10.1007/978-3-319-40631-2_149