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Tensor fasciae latae flap: alternative donor as a functioning muscle transplantation
1Department of Orthopaedic Surgery, Yamaguchi University School of Medicine, Japan.
Plastic and Reconstructive Surgery
|December 11, 1997
Summary
The tensor fasciae latae muscle successfully reconstructed a patient's deltoid muscle and skin defects. This functioning muscle transplant offers a promising solution for arm elevation and skin coverage.
Area of Science:
- Orthopedics
- Musculoskeletal Surgery
- Reconstructive Surgery
Background:
- Deltoid muscle defects impair arm function.
- Skin defects complicate reconstructive efforts.
- Alternative muscle grafts are needed for deltoid reconstruction.
Observation:
- A patient had complete deltoid muscle and overlying skin defects.
- The tensor fasciae latae muscle's configuration matched the deltoid.
- Vascular and nerve supply of the tensor fasciae latae were suitable for the recipient site.
Findings:
- The tensor fasciae latae muscle successfully restored arm elevation function.
- The transferred muscle provided adequate strength for arm movement.
- Simultaneous skin coverage was achieved with the graft.
Implications:
- Tensor fasciae latae muscle is a viable option for functioning muscle transplantation.
- This technique can address deltoid muscle defects and associated skin loss.
- Considerations include the limited motor nerve length for optimal outcomes.