title: Hatchet-shaped tensor fascia lata musculocutaneous flap for the coverage of trochanteric pressure sores: a new modification.
abstract: The tensor fascia lata flap is one of the appropriate choices for the coverage of trochanteric pressure sores. The authors designed a new, hatched-shaped tensor fascia lata musculocutaneous flap with distal Z-plasty closure and applied it to four trochanteric defects in 4 patients. Satisfactory results were obtained in all patients. The hatchet-shaped tensor fascia lata musculocutaneous flap is very safe, reliable, and practical. Designing the flap in a hatchet shape allows one to use the proximal and well-vascularized portion of the flap in the trochanteric pressure sore area. Another important advantage is the possibility of reuse resulting from recurrence. Prevention of a "dog-ear" deformity at the recipient site provides a smooth contour on the lateral aspect of the thigh. Another advantage is the tension-free Z-plasty closure of the donor site without need of grafting.
authors.affiliation: Medical Faculty, Department of Plastic and Reconstructive Surgery, Ankara University, Turkey.
authors.forename: M Erol
authors.initials: ME
authors.lastname: Demirseren
authors.forename: Serdar
authors.initials: S
authors.lastname: Gökrem
authors.forename: Orhan Murat
authors.initials: OM
authors.lastname: Ozdemir
authors.forename: Arda
authors.initials: A
authors.lastname: Katircioğlu
authors.forename: Zeki
authors.initials: Z
authors.lastname: Can
authors.forename: Savaş
authors.initials: S
authors.lastname: Serel
mesh_terms: D000293:Adolescent; D000328:Adult; D005206:Fascia Lata; D006801:Humans; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery*; D013524:Surgical Flaps