Distally extended tensor fascia lata flap including the wide iliotibial tract for reconstruction of trochanteric pressure sores.

摘要: The distally extended tensor fascia lata flap is a good choice to provide sufficient tissue bulk for deep trochanteric sore defect. However, this can result in necrosis of the distal skin due inadequate blood supply, failure primary closure at donor site or suture separation proximal site. viability depends on longitudinal subcutaneous plexi perforators anastomosing through multiple small-calibre vessels. If and fasciocutaneous are maximally preserved, may be viable. It also allow narrower portion, allowing primarily closed without tension. We performed V-shaped, de-epithelialised, with wide base iliotibial tract. de-epithelialised was double-folded fill dead space A key surgical tip improve supply preserve tract 1.5 cm beyond both borders V-shaped incision. total 14 wounds were successfully covered 11 patients complication. This had advantages having soft-tissue bulk, reliable donor-site closure. option reconstruction pressure sores.