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Versatility of the fascia lata tensor musculocutaneous flap

BACKGROUND: The fascia lata tensor (FLT) musculocutaneous flap holds a great versatility. It is used in countless situations. We present our experience with the use of this flap in several circumstances. We also analyze and discuss about indications, results and complications. METHODS: Between January 2003 and December 2005, 15 patients (10 man and 5 women) underwent 17 FLT flaps to treat many skin defects. Patients were between 18 and 65 years-old. Patients' position during surgery was lateral decubitus. Follow up has been obtained from 6 months to 3 years. RESULTS: We succeed with fit skin coverage in all cases. Partial skin graft was necessary in four cases. Distal flap ischemia occurred in two patients. Small dehiscence at the donor site was seen (and treated by simple suture) in one case. CONCLUSION: The FLT musculocutaneous flap is extremely reliable and versatile; it has easy and fast execution and relatively few complications. It can successfully be used in many clinical situations.

Surgical flaps; Muscles; Fascia Lata


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