Nahai F, Silverton J S, Hill H L, Vasconez L O
Ann Plast Surg. 1978 Jul;1(4):372-9. doi: 10.1097/00000637-197807000-00003.
The tensor fascia lata (TFL) muscle, together with the overlying skin of the anterolateral thigh, makes a reliable musculocutaneous unit. It can be lengthened safely by taking the fascia lata and the skin of the anterolateral mid and lower thigh to within 8 cm of the knee. The skin of the longer flap is supplied by large perforating musculocutaneous arteries, the terminal branches of the vascular pedicle of the muscle. The shorter flap can easily be transposed over the trochanteric area, while the larger flap will cover not only the trochanter but also the ischial and sacral areas. The flap serves equally well as a transposition, island, or free flap. The anatomical and vascular basis of the flap is presented, together with its application in 21 patients. Possible further applications of the flap, including anterior rotation, are discussed.
阔筋膜张肌（TFL）与大腿前外侧的皮肤一起构成了一个可靠的肌皮单元。通过将阔筋膜以及大腿前外侧中下部的皮肤切除到膝盖上方8厘米处，可以安全地延长该肌皮单元。较长皮瓣的皮肤由粗大的穿支肌皮动脉供血，这些动脉是肌肉血管蒂的终末分支。较短的皮瓣可以轻松转移到转子区，而较大的皮瓣不仅可以覆盖转子区，还可以覆盖坐骨和骶骨区。该皮瓣作为转移皮瓣、岛状皮瓣或游离皮瓣的效果同样良好。本文介绍了该皮瓣的解剖学和血管基础，以及其在21例患者中的应用。还讨论了该皮瓣可能进一步的应用，包括向前旋转。
