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High leg incision fascia lata harvesting
T C Naugle1, C L Fry, R E Sabatier
1Department of Ophthalmology, Tulane University School of Medicine, New Orleans, Louisiana, USA.
Objective:
The traditional method of harvesting fascia lata has been through an incision above the lateral knee. Problems with this method include a conspicuous scar, herniation of the muscle belly, and hematoma formation. The authors describe a new method of harvesting fascia lata in the region of the hip to minimize these complications.
Design:
Cohort study.
Participants:
Twenty-three patients underwent harvesting of fascia lata by the technique described by the authors. Twenty-one patients had ptosis with poor levator function. In two patients, the fascia lata was used to wrap a hydroxyapatite implant.
Intervention:
The technique for harvesting fascia lata through an incision between the greater trochanter and anterior iliac crest is described. Long-term results were collected from chart reviews and patient interviews after surgery.
Main Outcome Measures:
The patients were evaluated to determine whether any complications resulted from the new incision site.
Results:
No permanent complications were noted at the incision site.
Conclusions:
Fascia lata can be harvested safely in the region of the iliac crest with an inconspicuous scar and with fewer complications than with the more traditional site slightly above the lateral knee.
