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The random upper posterior thigh fasciocutaneous flap
1Division of Plastic Surgery, Lehigh Valley Hospital, Allentown, PA.
Annals of Plastic Surgery
|April 1, 1994
Summary
A new posterior thigh flap offers a reliable option for closing ischial or trochanteric defects, especially when vascular anomalies are present. This muscle-sparing flap has shown a low complication rate in clinical use.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Vascular anomalies in the gluteal region can complicate reconstructive surgery.
- The gluteal thigh composite flap is often used, but variations are needed.
- Pressure sore recurrence is a significant risk in ischial and trochanteric defects.
Purpose of the Study:
- To describe a superiorly based random posterior thigh fasciocutaneous flap as a variant of the gluteal thigh composite flap.
- To evaluate the efficacy and safety of this flap for closing adjacent defects.
Main Methods:
- A series of 8 flaps were used in 7 patients over 10 years.
- The flap's design relies on the fascial plexus of the upper posterior thigh.
- The flap is distinguished by its predictable vascular supply from the cruciate anastomosis.
Main Results:
- Only one major complication occurred in the series.
- The flap proved valuable for closing ischial or trochanteric defects.
- No muscle sacrifice was required.
Conclusions:
- The superiorly based random posterior thigh fasciocutaneous flap is a simple, rapidly elevated option.
- It is a valuable supplement to existing reconstructive techniques for ischial and trochanteric defects.
- It is a reasonable alternative for ambulatory patients due to being muscle-sparing.