The tensor fascia lata V-Y retroposition flap

Area of Science:

• Plastic Surgery
• Wound Healing
• Orthopedic Surgery

Background:

• Trochanteric pressure ulcers present a significant clinical challenge.
• Existing surgical treatments may have limitations, including the need for skin grafts.

Purpose of the Study:

• To evaluate the efficacy of a modified tensor fascia lata myocutaneous flap as a V-Y retroposition flap for treating trochanteric pressure ulcers.

Main Methods:

• A V-Y retroposition technique using the tensor fascia lata myocutaneous flap was developed.
• The flap's design modification aimed to eliminate rotation points and optimize coverage.
• The technique was applied to patients with trochanteric pressure ulcers.

Main Results:

• The V-Y retroposition flap successfully treated 11 trochanteric pressure ulcers in 10 patients over two years.
• This technique obviated the need for skin grafts in all treated cases.
• The thickest portion of the flap was effectively positioned over the ulcer defect.

Conclusions:

• The modified tensor fascia lata V-Y retroposition flap is a viable and effective surgical option for trochanteric pressure ulcers.
• This technique offers advantages by eliminating rotation points and the requirement for skin grafts.
• Successful clinical application demonstrates the potential of this modified flap design.