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The subcutaneous pedicle tensor fascia lata flap
1Division of Plastic Surgery, Baylor College of Medicine, USA.
Plastic and Reconstructive Surgery
|April 1, 1996
Summary
This study introduces a modified tensor fascia lata flap using a subcutaneous pedicle for versatile tissue transfer. This technique offers a reliable option for reconstructing lower midsection, pelvic, and penile defects.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Anatomy
Background:
- The tensor fascia lata flap is a common reconstructive option.
- Conventional flaps have drawbacks like limited reach and donor site morbidity.
- A need exists for improved flap techniques with enhanced versatility.
Purpose of the Study:
- To describe a novel subcutaneous pedicle tensor fascia lata flap.
- To evaluate its potential for reconstruction of various defects.
- To highlight the advantages over traditional tensor fascia lata flaps.
Main Methods:
- A distal skin island is designed on the lateral thigh.
- The island is raised on a subcutaneous pedicle supplied by the lateral femoral circumflex artery.
- Subcutaneous tunneling is utilized to connect the flap to the recipient site.
Main Results:
- The technique allows safe transfer of a distal skin island on the iliotibial tract.
- Preservation of lateral thigh skin and utilization of subcutaneous tunneling address traditional flap limitations.
- The flap offers sensate potential, thin skin, durable fascia, and a wide arc of rotation.
Conclusions:
- The subcutaneous pedicle tensor fascia lata flap is a valuable donor site.
- It is suitable for coverage of lower midsection, pelvic defects, and penile reconstruction.
- This modified flap offers significant advantages in reconstructive surgery.