Koshima I, Soeda S, Ohno A
Department of Plastic and Reconstructive Surgery, University of Tsukuba, Ibaraki, Japan.
Plast Reconstr Surg. 1990 Dec;86(6):1198-201. doi: 10.1097/00006534-199012000-00028.
The tensor fasciae latae musculocutaneous flap has great advantages for reconstruction of the abdominal wall, but the medial border of its territory is limited to the thigh. In order to expand the territory, a combined tensor fasciae latae musculocutaneous flap and sartorius musculocutaneous flap was devised. This flap was successfully used to resurface a large defect in the lower leg as a distally based musculocutaneous flap. The advantages of this flap are its extremely large territory, the fact that total necrosis of the flap cannot occur, and that as a proximally or distally pedicled flap it is suitable for large defects in the abdominal wall, lower leg, and gluteal region.
阔筋膜张肌肌皮瓣在腹壁重建方面具有很大优势，但其皮瓣范围的内侧边界局限于大腿。为了扩大皮瓣范围，设计了阔筋膜张肌肌皮瓣与缝匠肌肌皮瓣联合皮瓣。该皮瓣作为远端蒂肌皮瓣成功用于修复小腿的大面积缺损。此皮瓣的优点是其范围极大、皮瓣不会发生完全坏死，并且作为近端或远端蒂皮瓣，适用于腹壁、小腿和臀区的大面积缺损。
