Sensory TFL flaps have to be extended to the ischial and perianal region of patients suffering from a low spinal cord lesion if they are to provide optimal sensitivity as well as adequate length. A sensory TFL flap which extends to the perianal area may also help such patient to control his bowel function. In order to mobilize a large sensory TFL flap, 3 to 4 musculocutaneous vessels originating from the vastus lateralis femoris muscle have to be cut within 14 cm above the knee joint. The resulting random pattern skin flap segment of such extended sensory TFL flap is prone to develop inadequate blood supply when transposed to its new bed, especially if the subcutaneous fat layer is thicker than 1,5 to 2 cm. Under such conditions the delay procedure is advisable to preserve the entire length of an enlarged sensory myodermal TFL flap.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Atlas anatomique Sandoz (1973) Laboratoires Sandoz, Paris
Finseth F (1979) Clinical salvage of three failing skin flaps by treatment with a vasodilator drug. Plast Reconstr Surg 63:304
Finseth F, Zimmermann J, Liggins D (1979) Prevention of muscle necrosis in an experimental, neurovascular island muscle flap by a vasodilatator drug-isoxsuprine. Plast Reconstr Surg 63:774
Grab WC, Smith JW (1977) Basic technique of plastic surgery, 2nd edn, Chap, 1. In: Grab, WC, Smith JW (eds) Plastic surgery Little, Brown Co, Boston, p 3
Hill H, Nahai F, Vasconez L (1978) The tensor fascia lata myocutaneous flap. Plast Reconstr Surg 61:517
Krupp S (unpublished) Why delay the sensory tensor fasciae latae flap? 8th Alpine Work Shop in Plastic and Reconstructive Surgery, March 9–13, 1981, Cortina D'Ampezzo
Krupp S, Kuhn WK, Zäch GA (1982) Recent advences in covering recurrent pressure sores and unstable scars in spinal cord lesions. Helv Chir Acta 49:217
Lanz J, Wachsmuth W (1972) Praktische Anatomie, 2 Aufl, Bd 1, Teil 4, Bein und Statik. Springer, Berlin Heidelberg New York
Mathes SJ, Vasconez L, Jurkiewicz MJ (1977) Extension and further application of muscle flap transposition. Plast Reconstruc Surg 60:6
Mathes SJ, Buchanan R (1979) Tensor fascia lata: neurosensory musculocutaneous free flap. Brit J Plast Surg 32:184
Mathes SJ, Nahai F (1979) Clinical atlas of muscle and musculocutaneous flap. Mosby Co, St. Louis
Mathes SJ, Nahai F (1981) Classification of the vascular anatomy of muscle: experimental and clinical correlation. Plast and Reconstr Surg 71: 177
McCraw JB, Dibell DG (1977) Experiemental definition of independant myocutaneous vascular territories. Plast Reconstr Surg 60:212
McCraw JB, Dibell DG, Carraway JH (1977) Clinical definition of independant myocutaneous vascular territories. Plast Reconstr Surg 60:341
McGregor JC, Buchan AC (1980) The tensor fascia lata flap and its use in the closure of trochanteric and ischial pressure sores. Paraplegia 18:301
Myers MB (1977) Attempts to augment survival in skin flaps-Mechanism of the delay phenomenon, 2nd edn, Chap 7. In: Grabb WC, Myers MB (eds) Skin Flaps. Little Brown Co, Boston, p 65
Nakayama Y (1982) The importance of arterial inflow in the distal side of a flap: an experimental investigation. Plast Reconstr Surg 69:61
Nahai F, Silverton J, Hill H (1978) The tensor fascia lata musculocutaneous flap. Ann Plast Surg 1:372
Nahai F (1980) The tensor fascia lata flap. Clin Plast Surg 7:51
Nahai F, Hill H, Hester TR (1979) Experiences with the tensor fascia lata flap. Plast Reconstr Surg 63:788
Souyris F, Gary-Bobo A, Reynaud JP, Charissoux G (1980) Myocutaneous tensor fascia lata flap: Anatomical and technical findings. Ann Chir Plast 25:159
Svedman P, Jacobsson S, Ponnert L, Lindell SE (1982) Transcutaneous oxygen tension in flaps. Chir Plastica 6:201
Vasconez L, McCraw JB (1980) Symposium on myocutaneous flap. Clin Plast Surg 7:1
About this article
Cite this article
Krupp, S., Milliet, A.C. Why and when to delay TFL flaps. Chir Plastica 7, 23–31 (1982). https://doi.org/10.1007/BF00266801
- Extended sensory TFL flap
- Random pattern skin segment of TFL flap
- Delay of extended sensory TFL flap