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首页> 外文期刊>Annals of Plastic Surgery >Tensor fascia lata flap versus tensor fascia lata perforator-based island flap for the coverage of extensive trochanteric pressure sores
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Tensor fascia lata flap versus tensor fascia lata perforator-based island flap for the coverage of extensive trochanteric pressure sores

机译：张量筋膜足底皮瓣与基于张量筋膜腹壁穿孔器的岛状皮瓣覆盖广泛的股骨转子压疮

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摘要

Tensor fascia lata (TFL) musculocutaneous flaps often require a donor site graft when harvesting a large flap. However, a major drawback is that it also sacrifices the muscle. To overcome this disadvantage, we designed a TFL perforator-based island flap that was harvested from a site near the defect and involved transposition within 90 degrees without full isolation of the pedicles. We performed procedures on 17 musculocutaneous flaps and 23 perforatorbased island flaps, and compared the outcomes of these surgeries. The overall complication rate was 27.5% (11 regions). There were 7 complications related to the musculocutaneous flaps and 4 complications related to the perforator flaps. Although there were no statistical differences between those groups, lower complication rates were associated with procedures involving perforator flaps. The TFL perforator procedure is a simple and fast operation that avoids sacrificing muscle. This decreases complication rates compared to true perforator flap techniques that require dissection around the perforator or pedicle.
机译：收获大的皮瓣时，张肌筋膜（TFL）肌肉皮瓣通常需要供体部位移植。但是，主要缺点是它也会牺牲肌肉。为了克服这个缺点，我们设计了一种基于TFL穿孔器的岛状皮瓣，该皮瓣是从缺损附近的部位收获的，涉及90度内的移位，而没有完全隔离椎弓根。我们对17个肌皮瓣和23个基于穿孔器的岛状皮瓣进行了手术，并比较了这些手术的结果。总体并发症发生率为27.5％（11个地区）。与肌肉皮瓣有关的并发症有7例，与穿孔皮瓣有关的并发症有4例。尽管两组间无统计学差异，但并发症发生率与穿孔皮瓣相关。 TFL穿孔器手术操作简单快捷，避免了牺牲肌肉。与需要在穿孔器或椎弓根周围解剖的真正的穿孔器瓣技术相比，这降低了并发症发生率。

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