Table of Contents
Plastic Surgery International
Volume 2014, Article ID 846082, 6 pages
http://dx.doi.org/10.1155/2014/846082
Clinical Study

Versatility of Pedicled Tensor Fascia Lata Flap: A Useful and Reliable Technique for Reconstruction of Different Anatomical Districts

Post Graduate Department of Burns, Plastic and Reconstructive Surgery, JNMC, AMU, Aligarh, India

Received 20 June 2014; Revised 21 October 2014; Accepted 27 October 2014; Published 18 November 2014

Academic Editor: Nicolo Scuderi

Copyright © 2014 Md. Sohaib Akhtar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims and Objectives. The aim of this study was to evaluate the versatility of pedicled tensor fascia lata flap for reconstruction of various anatomical regions. Materials and Methods. In this retrospective study a total of 34 patients with defects over various anatomical regions were included. The defects were located over the trochanter , groin , perineum , lower anterior abdomen , gluteal region , and ischial region . The etiology of defects included trauma , infection , pressure sores , and malignancy . Reconstruction was performed using pedicled tensor fascia lata flaps. Patients were evaluated in terms of viability of the flap and donor site morbidity. The technical details of the operative procedure have also been outlined. Results. All the flaps survived well except 5 patients in which minor complications were noted and 1 who experienced complete flap loss. Of those with minor complications, 1 patient developed distal marginal necrosis and 1 developed infection which subsided within three days by dressings and antibiotics and in 2 patients partial loss of the skin graft occurred at the donor site out of which 1 required regrafting and another one healed completely with dressing and antibiotics. All the patients were followed up for an average period of 6 months, ranging from 1 to 12 months. Donor site morbidity was minimal. Conclusion. It was concluded that the pedicled tensor fascia lata flap is a versatile, reliable, easy, and less time consuming procedure for the coverage of defects around trochanter, groin, lower anterior abdomen, perineum, and ischial region.