Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts
Identifieur interne : 006E24 ( Ncbi/Merge ); précédent : 006E23; suivant : 006E25Versatility 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 :
- Plastic Surgery International [ 2090-1461 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/846082
PubMed: 25485149
PubMed Central: 4251791
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts</title><author><name sortKey="Akhtar, Md Sohaib" sort="Akhtar, Md Sohaib" uniqKey="Akhtar M" first="Md. Sohaib" last="Akhtar">Md. Sohaib Akhtar</name><affiliation wicri:level="1"><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><wicri:noRegion>Aligarh</wicri:noRegion></affiliation></author><author><name sortKey="Khurram, Mohd Fahud" sort="Khurram, Mohd Fahud" uniqKey="Khurram M" first="Mohd Fahud" last="Khurram">Mohd Fahud Khurram</name><affiliation wicri:level="1"><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><wicri:noRegion>Aligarh</wicri:noRegion></affiliation></author><author><name sortKey="Khan, Arshad Hafeez" sort="Khan, Arshad Hafeez" uniqKey="Khan A" first="Arshad Hafeez" last="Khan">Arshad Hafeez Khan</name><affiliation wicri:level="1"><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><wicri:noRegion>Aligarh</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25485149</idno><idno type="pmc">4251791</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4251791</idno><idno type="RBID">PMC:4251791</idno><idno type="doi">10.1155/2014/846082</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">004584</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004584</idno><idno type="wicri:Area/Pmc/Curation">004583</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004583</idno><idno type="wicri:Area/Pmc/Checkpoint">001624</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001624</idno><idno type="wicri:Area/Ncbi/Merge">006E24</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts</title><author><name sortKey="Akhtar, Md Sohaib" sort="Akhtar, Md Sohaib" uniqKey="Akhtar M" first="Md. Sohaib" last="Akhtar">Md. Sohaib Akhtar</name><affiliation wicri:level="1"><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><wicri:noRegion>Aligarh</wicri:noRegion></affiliation></author><author><name sortKey="Khurram, Mohd Fahud" sort="Khurram, Mohd Fahud" uniqKey="Khurram M" first="Mohd Fahud" last="Khurram">Mohd Fahud Khurram</name><affiliation wicri:level="1"><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><wicri:noRegion>Aligarh</wicri:noRegion></affiliation></author><author><name sortKey="Khan, Arshad Hafeez" sort="Khan, Arshad Hafeez" uniqKey="Khan A" first="Arshad Hafeez" last="Khan">Arshad Hafeez Khan</name><affiliation wicri:level="1"><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><wicri:noRegion>Aligarh</wicri:noRegion></affiliation></author></analytic><series><title level="j">Plastic Surgery International</title><idno type="ISSN">2090-1461</idno><idno type="eISSN">2090-147X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><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></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wangensteen, O H" uniqKey="Wangensteen O">O. H. Wangensteen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hill, H L" uniqKey="Hill H">H. L. Hill</name></author><author><name sortKey="Nahai, F" uniqKey="Nahai F">F. Nahai</name></author><author><name sortKey="Vasconez, L O" uniqKey="Vasconez L">L. O. Vasconez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nahai, F" uniqKey="Nahai F">F. Nahai</name></author><author><name sortKey="Silverton, J S" uniqKey="Silverton J">J. S. Silverton</name></author><author><name sortKey="Hill, H L" uniqKey="Hill H">H. L. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Plast Surg Int</journal-id><journal-id journal-id-type="iso-abbrev">Plast Surg Int</journal-id><journal-id journal-id-type="publisher-id">PSI</journal-id><journal-title-group><journal-title>Plastic Surgery International</journal-title></journal-title-group><issn pub-type="ppub">2090-1461</issn><issn pub-type="epub">2090-147X</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25485149</article-id><article-id pub-id-type="pmc">4251791</article-id><article-id pub-id-type="doi">10.1155/2014/846082</article-id><article-categories><subj-group subj-group-type="heading"><subject>Clinical Study</subject></subj-group></article-categories><title-group><article-title>Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Akhtar</surname><given-names>Md. Sohaib</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Khurram</surname><given-names>Mohd Fahud</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Khan</surname><given-names>Arshad Hafeez</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib></contrib-group><aff id="I1">Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, India</aff><author-notes><corresp id="cor1">*Md. Sohaib Akhtar: <email>drsohaibakhtar@gmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Nicolo Scuderi</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>18</day><month>11</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>846082</elocation-id><history><date date-type="received"><day>20</day><month>6</month><year>2014</year></date><date date-type="rev-recd"><day>21</day><month>10</month><year>2014</year></date><date date-type="accepted"><day>27</day><month>10</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Md. Sohaib Akhtar et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><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></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>(a) Left lower abdominal wall malignancy (dermatofibrosarcoma). (b) Defect after local wide excision of tumour. (c) Follow-up photograph showing well set flap. (d) Follow-up photograph showing well set flap and well taken-up skin graft.</p></caption><graphic xlink:href="PSI2014-846082.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>(a) Postarthroplasty soft tissue defect over right trochanteric region. (b) Photograph showing TFL flap elevation and arc of rotation of the flap. (c) Postoperative photograph after 2 weeks showing well set flap and well taken-up graft at donor site.</p></caption><graphic xlink:href="PSI2014-846082.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>(a) Postinfection soft tissue defect over right gluteal region. (b) Photograph showing markings and TFL flap design. (c) Immediate postoperative photograph showing flap inset into the defect and donor site primarily closed. (d) Long term follow-up photograph.</p></caption><graphic xlink:href="PSI2014-846082.003"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Akhtar, Md Sohaib" sort="Akhtar, Md Sohaib" uniqKey="Akhtar M" first="Md. Sohaib" last="Akhtar">Md. Sohaib Akhtar</name></noRegion><name sortKey="Khan, Arshad Hafeez" sort="Khan, Arshad Hafeez" uniqKey="Khan A" first="Arshad Hafeez" last="Khan">Arshad Hafeez Khan</name><name sortKey="Khurram, Mohd Fahud" sort="Khurram, Mohd Fahud" uniqKey="Khurram M" first="Mohd Fahud" last="Khurram">Mohd Fahud Khurram</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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