The neurosensory musculocutaneous tensor fasciae latae flap: long term results.
In 1971 we started covering pressure sores and unstable scars with transposition-rotation-muscle and musculocutaneous flaps. In 1980 we published the first results with 6 neurosensory musculocutaneous tensor fasciae latae flaps. Until April 1989, 31 tensor fasciae latae flaps (TFL) were used, and we review a consecutive series of 19 neurosensory TFL-flaps. Questions such as whether to delay the procedure; early and late complications; evolution of the sensation; and indications are outlined under the aspects of long term follow up studies. The conclusion is that if the neurological pattern permits a neurosensory flap, such flaps should be done because no local recurrence occurred. In extended neurosensory TFL-flaps sensation of the filling status of the rectum is improved, and sitting control and perception of the 'body scheme' are also improved.
Kuhn
W
W
Praxis für Paraplegiologie, Ponte Tresa, Switzerland.
Lüscher
N J
NJ
de Roche
R
R
Krupp
S
S
Zäch
G A
GA
D005500:Follow-Up Studies; D006801:Humans; D009132:Muscles / Q000294:innervation; D009420:Nervous System / Q000503:physiopathology*; D011183:Postoperative Complications; D003668:Pressure Ulcer / Q000503:physiopathology / Q000628:therapy*; D012008:Recurrence; D012677:Sensation; D012867:Skin / Q000294:innervation; D013524:Surgical Flaps; D013848:Thigh; D013997:Time Factors