Withers E H, Franklin J D, Madden J J, Lynch J B
Ann Plast Surg. 1980 Jan;4(1):31-6.
We have found the tensor fascia lata myocutaneous flap to be exceedingly reliable with a consistent vascular pedicle; it can be elevated easily and rapidly in its subfascial plane. It is a useful flap in the paraplegic patient for colsure of ischial, trochanteric, and sacral pressure sores, and may also be used as a free flap with little donor morbidity. At present, we recommend this as the flap of choice for closure of trochanteric pressure sores. Additionally, it appears to have further applications in defects of the groin, perineum, abdominal wall, and lower chest wall. Eleven tensor fascia lata musculocutaneous flaps, utilized for soft tissue coverage for varying defects in 9 patients, are discussed.
我们发现阔筋膜张肌肌皮瓣具有极为可靠的恒定血管蒂；它能在其筋膜下平面轻松、快速地掀起。对于截瘫患者，该皮瓣在闭合坐骨、转子和骶部压疮方面很有用，也可作为游离皮瓣使用，供区并发症少。目前，我们推荐将其作为闭合转子压疮的首选皮瓣。此外，它似乎在腹股沟、会阴、腹壁和下胸壁缺损方面还有进一步的应用。本文讨论了11例阔筋膜张肌肌皮瓣，用于9例患者不同缺损的软组织覆盖。
