Gu B, Fan Q Y, Lu Y P, Goldenberg B
Department of Orthopedic Surgery, Hospital for Joint Diseases, New York, N.Y.
Plast Reconstr Surg. 1990 Nov;86(5):983-6. doi: 10.1097/00006534-199011000-00026.
Although the tensor fasciae latae myocutaneous flap is convenient for covering some defects in the gluteal region, it is not suitable to repair a huge defect because of its limited area. Based on the close relationship of the sartorius and the tensor fasciae latae at their origins and blood supply, the authors designed a myocutaneous flap containing both the tensor fasciae latae and the sartorius muscles and their skin territories with an area exceeding 800 cm2. Two successfully repaired patients are reported. The flaps provide normal sensitivity. The vascular pedicle has a reliable anatomy, being easily dissected, and averages 4.6 to 5.8 cm in length. Both muscles are expendable. There is little functional difficulty for hip joint after the operation.
虽然阔筋膜张肌肌皮瓣便于覆盖臀区的一些缺损，但因其面积有限，不适用于修复巨大缺损。基于缝匠肌与阔筋膜张肌在起点和血供方面的紧密关系，作者设计了一种包含阔筋膜张肌和缝匠肌及其皮肤区域的肌皮瓣，其面积超过800平方厘米。报告了两例成功修复的患者。该皮瓣具有正常的感觉。血管蒂解剖结构可靠，易于解剖，平均长度为4.6至5.8厘米。两块肌肉均为可牺牲性肌肉。术后髋关节功能障碍轻微。
