Tensor Fascia Lata Flap Versus Tensor Fascia Lata Perforator-Based Island Flap for the Coverage of Extensive Trochanteric Pressure Sores
- Title
- Tensor Fascia Lata Flap Versus Tensor Fascia Lata Perforator-Based Island Flap for the Coverage of Extensive Trochanteric Pressure Sores
- Author
- 김정태
- Keywords
- trochanteric sore; perforator flap; tensor fascia lata
- Issue Date
- 2013-06
- Publisher
- LITTLE BROWN AND COMPANY
- Citation
- Annals of Plastic Surgery, June 2013, 70(6), p.684-690
- Abstract
- Tensor fascia lata (TFL) musculocutaneous flaps often require a donor site graft when harvesting a large flap. However, a major drawback is that it also sacrifices the muscle. To overcome this disadvantage, we designed a TFL perforator-based island flap that was harvested from a site near the defect and involved transposition within 90 degrees without full isolation of the pedicles. We performed procedures on 17 musculocutaneous flaps and 23 perforator-based island flaps, and compared the outcomes of these surgeries. The overall complication rate was 27.5% (11 regions). There were 7 complications related to the musculocutaneous flaps and 4 complications related to the perforator flaps. Although there were no statistical differences between those groups, lower complication rates were associated with procedures involving perforator flaps. The TFL perforator procedure is a simple and fast operation that avoids sacrificing muscle. This decreases complication rates compared to true perforator flap techniques that require dissection around the perforator or pedicle.
- URI
- https://journals.lww.com/annalsplasticsurgery/Abstract/2013/06000/Tensor_Fascia_Lata_Flap_Versus_Tensor_Fascia_Lata.21.aspxhttps://repository.hanyang.ac.kr/handle/20.500.11754/70736
- ISSN
- 0148-7043
- DOI
- 10.1097/SAP.0b013e31823dcec2
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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