Tensor Fascia Lata Flap Versus Tensor Fascia Lata Perforator-Based Island Flap for the Coverage of Extensive Trochanteric Pressure Sores
- Authors
- Kim, Youn Hwan; Kim, Sang Wha; Kim, Jeong Tae; Kim, Chang Yeon
- Issue Date
- Jun-2013
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- trochanteric sore; perforator flap; tensor fascia lata
- Citation
- ANNALS OF PLASTIC SURGERY, v.70, no.6, pp.684 - 690
- Indexed
- SCIE
SCOPUS
- Journal Title
- ANNALS OF PLASTIC SURGERY
- Volume
- 70
- Number
- 6
- Start Page
- 684
- End Page
- 690
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/162643
- DOI
- 10.1097/SAP.0b013e31823dcec2
- ISSN
- 0148-7043
- 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.
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