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Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts

Identifieur interne : 006E24 ( Ncbi/Curation ); précédent : 006E23; suivant : 006E25

Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts

Auteurs : Md. Sohaib Akhtar [Inde] ; Mohd Fahud Khurram [Inde] ; Arshad Hafeez Khan [Inde]

Source :

RBID : PMC:4251791

Abstract

Aims and Objectives. The aim of this study was to evaluate the versatility of pedicled tensor fascia lata flap for reconstruction of various anatomical regions. Materials and Methods. In this retrospective study a total of 34 patients with defects over various anatomical regions were included. The defects were located over the trochanter (n = 12), groin (n = 8), perineum (n = 6), lower anterior abdomen (n = 6), gluteal region (n = 1), and ischial region (n = 1). The etiology of defects included trauma (n = 12), infection (n = 8), pressure sores (n = 8), and malignancy (n = 6). Reconstruction was performed using pedicled tensor fascia lata flaps. Patients were evaluated in terms of viability of the flap and donor site morbidity. The technical details of the operative procedure have also been outlined. Results. All the flaps survived well except 5 patients in which minor complications were noted and 1 who experienced complete flap loss. Of those with minor complications, 1 patient developed distal marginal necrosis and 1 developed infection which subsided within three days by dressings and antibiotics and in 2 patients partial loss of the skin graft occurred at the donor site out of which 1 required regrafting and another one healed completely with dressing and antibiotics. All the patients were followed up for an average period of 6 months, ranging from 1 to 12 months. Donor site morbidity was minimal. Conclusion. It was concluded that the pedicled tensor fascia lata flap is a versatile, reliable, easy, and less time consuming procedure for the coverage of defects around trochanter, groin, lower anterior abdomen, perineum, and ischial region.


Url:
DOI: 10.1155/2014/846082
PubMed: 25485149
PubMed Central: 4251791

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PMC:4251791

Le document en format XML

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<name sortKey="Akhtar, Md Sohaib" sort="Akhtar, Md Sohaib" uniqKey="Akhtar M" first="Md. Sohaib" last="Akhtar">Md. Sohaib Akhtar</name>
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<name sortKey="Khurram, Mohd Fahud" sort="Khurram, Mohd Fahud" uniqKey="Khurram M" first="Mohd Fahud" last="Khurram">Mohd Fahud Khurram</name>
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<nlm:aff id="I1">Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, India</nlm:aff>
<country xml:lang="fr">Inde</country>
<wicri:regionArea>Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh</wicri:regionArea>
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<name sortKey="Khan, Arshad Hafeez" sort="Khan, Arshad Hafeez" uniqKey="Khan A" first="Arshad Hafeez" last="Khan">Arshad Hafeez Khan</name>
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<country xml:lang="fr">Inde</country>
<wicri:regionArea>Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh</wicri:regionArea>
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<title level="j">Plastic Surgery International</title>
<idno type="ISSN">2090-1461</idno>
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<italic>Aims and Objectives</italic>
. The aim of this study was to evaluate the versatility of pedicled tensor fascia lata flap for reconstruction of various anatomical regions.
<italic>Materials and Methods</italic>
. In this retrospective study a total of 34 patients with defects over various anatomical regions were included. The defects were located over the trochanter (
<italic>n</italic>
= 12), groin (
<italic>n</italic>
= 8), perineum (
<italic>n</italic>
= 6), lower anterior abdomen (
<italic>n</italic>
= 6), gluteal region (
<italic>n</italic>
= 1), and ischial region (
<italic>n</italic>
= 1). The etiology of defects included trauma (
<italic>n</italic>
= 12), infection (
<italic>n</italic>
= 8), pressure sores (
<italic>n</italic>
= 8), and malignancy (
<italic>n</italic>
= 6). Reconstruction was performed using pedicled tensor fascia lata flaps. Patients were evaluated in terms of viability of the flap and donor site morbidity. The technical details of the operative procedure have also been outlined.
<italic>Results</italic>
. All the flaps survived well except 5 patients in which minor complications were noted and 1 who experienced complete flap loss. Of those with minor complications, 1 patient developed distal marginal necrosis and 1 developed infection which subsided within three days by dressings and antibiotics and in 2 patients partial loss of the skin graft occurred at the donor site out of which 1 required regrafting and another one healed completely with dressing and antibiotics. All the patients were followed up for an average period of 6 months, ranging from 1 to 12 months. Donor site morbidity was minimal.
<italic>Conclusion</italic>
. It was concluded that the pedicled tensor fascia lata flap is a versatile, reliable, easy, and less time consuming procedure for the coverage of defects around trochanter, groin, lower anterior abdomen, perineum, and ischial region.</p>
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