title: The VY tensor fasciae latae musculocutaneous flap.
abstract: When first introduced in 1978, the tensor fasciae latae flap was used both as a free-tissue transfer and as a local rotational flap. Its use as a free flap has diminished as other more appropriate flaps for free-tissue transfer have been described. The tensor fasciae latae flap has remained, however, an instrumental flap in the coverage of anterior and posterior soft-tissue defects around the hip region. The purpose of this paper is to present a new design of the tensor fasciae latae flap in the coverage of trochanteric pressure sores. By essentially creating a VY advancement flap into the trochanteric defect with the tensor fasciae latae, one can cover the trochanteric defect with the best-vascularized portion of the flap and avoid the dog-ear deformity.
authors.affiliation: Division of Plastic and Reconstructive Surgery, St. Louis University School of Medicine, Mo.
authors.forename: C E
authors.initials: CE
authors.lastname: Paletta
authors.forename: B
authors.initials: B
authors.lastname: Freedman
authors.forename: S I
authors.initials: SI
authors.lastname: Shehadi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005206:Fascia Lata / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D003668:Pressure Ulcer / Q000601:surgery*; D013524:Surgical Flaps