Thesecondpatient dislocated stooping overin a flexed position while vomit. As a pedicled flap, its strong fascial layer has the. Tensor fascia lata flap over trochanteric pru along with primary closure of the donor site. Microsurgery information for surgeons, health care professionals and patients, with detailed procedure descritpions. The advantages of this flap include minimal donorsite morbidity, the preservation of motor function of the tensor fasciae latae muscle and fascia lata, the ability to thin the flap by removing. The skin island of the flap can be very large and can be thinned removing a large part of the muscle allowing its use for almost. Proximal femoral resection and tensor fascia lata flap for. This band, also called the it band, is an elongated strip of fascia a type of connective tissue located in the. Versatility of pedicled tensor fascia lata flap in two different challenging anatomical defects. The defect was covered with a tensor fascia lata tfl flap.
A portion of external table of iliac crest can be harvested with the. We learned about this technique in i978 prior to publication of their findings and decided to investigate the flap in our patients. Introduction the tensor fascia lata tfl flap is one of the wellknown flaps with a reliable and constant pedicle. Versatility of pedicled tensor fascia lata flap in two. Tensor fascia lata flap reconstruction in semantic scholar. This technique of coverage of the defect after inguinal block dissection is easy with predictable good results. This flap has served as a workhorse flap for a variety of indications such as trochanteric pressure ulcers.
We followed the same technique of harvesting of tfl as described by. In 1934, wangensteen, first described it for abdominal wall reconstruction. The flap can be harvested without a skin paddle, using only the muscle and fascia. Tensor fascia lata tfl perforator flap can be a good alternative in these cases. The advantages of tfl flap are that dissection can be made through the same incision, without impairment of. Frequently, the size and location of the defect preclude. Tensor fascia lata flap is a workhorse for defects after. Tensor fascia lata tfl flap is a myofasciocutaneous flap. The tensor fasciae latae tfl flap gained significance in the late 1960s. The tensor fasciae latae flap and its use in the closure of. Perforator vessels are always present, the anatomy is more constant and it is.
Reconstruction was performed using pedicled tensor fascia lata flaps. Perforator vessels are always present, the anatomy is more constant and it is possible to harvest it through the same surgical access. The use of tensor fascia lata pedicled flap in reconstructing full. Tensor fascia lata flap is a myocutaneous flap, and as such many authors suggest it for coverage of large groin defects. Tensor fascia lata flap is a workhorse for defects after inguinal lymph node block dissection nevertheless, the use of local instead of free flaps, if possible, remains justified 15. A musclefascia flap most commonly harvested with an overlying skin paddle. The tensor fascia lata is a versatile flap with many uses in. Use of tensor fascia lata flap for reconstruction of the defect created.
It is a versatile flap with many uses in reconstructive plastic surgery like in management of pressure sores, facial reanimation and as a free flap in head and neck reconstruction. The pedicled tensor fascia lata flap tfl flap is a method of choice for abdominalwall reconstruc tion. Tensor fascia lata tfl flap is a versatile myofasciocutaneous flap. The tensor fasciae latae is a tiny muscle, inferior to the iliotibial band. The etiology of defects included trauma, infection, pressure sores, and malignancy. The interval between the tensor fascia lata and gluteus medius is developed. Use of tensor fascia lata flap for reconstruction of the. The tfl muscle has a single dominant pedicle mathesnahai type i. It can be lengthened safely by taking the fascia lata and the skin.
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