Keywords
tensor fascia latae flap
plastic surgery
How to Cite
Abstract
The visual observation of the muculus tensor fascia lata in time of trochanteric pressure sores dressing was important for detection of a muscle circulatory disturbance and choice of method plastic treatment. Proposed is the method of hip joint region pressure ulcer plastic restoration based on the use of original technique of transfer proximal part muculus tensor fascia latae be included in composite flap by the way of cross-section this muscle between the attachment place it to the spina iliaca anterior superior and the entry place of main vascular pedicle, this makes it possible to avoid extensive muscle mobilization and preserve existing vascular net in normal state and upgrowth in pathology of the vascular anastomosis between flap and surrounding tissue territory. A high efficacy of this plastic method is shown in 2 from 6 operated patients with stage III–IV hip joint region pressure ulcer.
References
Surgical management of pressure ulcers during inpatient neurologic rehabilitation: outcomes for patients with spinal cord disease / A. Srivastava, A. Gupta, A. B. Taly [et al.] // The Journal of Spinal Cord Medicine. – 2009. – V. 32, № 2. – P. 125–131.
Парай А. Е. Оперативное лечение пролежней у больных со стойкой утратой двигательной активности / А. Е. Парай, А. Г. Бутырский, В. Н. Старосек // Хірургія України. – 2010. – № 3. – С. 41–48.
Pressure sores – a constant problem for plegic patients and a permanent challenge for plastic surgery / C. Giuglea, S. Marinescu, I. P. Florescu [et al.] // Journal of Medicine and Life. – 2010. – V. 3, № 2. – P. 149–153.
Surgical management of pressure ulcers around pelvis in department of plastic and reconstructive surgery, Bahawal victoria hospital, Bahawalpur / M. M. Amin, U. Nazeer, A. Akhtar [et al.] // Pakistan Journal of Plastic Surgery. – 2013. – V. 2, № 3. – P. 1–6.
Пасичный Д. А. Метод измерения площади и оценки эффективности лечения ран / Д. А. Пасичный // Междунар. мед. журн. – 2001. – Т. 7, № 3. – С. 117–120.
Етапна невідкладна допомога дітям : довідник «VADEMECUM Доктор Педіатр» / за ред. проф. Г. І. Белебезьєва, В. І. Снісаря. – К. : ТОВ ГІРА «Здоров’я України», 2006. – 104 с.
Обыдённов С. А. Основы реконструктивной пластической микрохирургии / С. А. Обыдённов, И. В. Фраучи. – СПб. : Человек, 2000. – 144 с.
McGregor J. C. Our clinical experience with the tensor fasciae latae myocutaneous flap / J. C. McGregor, A. C. Buchan // British Journal of Plastic Surgeons. – 1980. – V. 33, № 2. – P. 270−276.
McCraw and Arnjld’s atlas of muscle and musculocutaneous flaps / [McCraw J. B., Arnold P. G., Dibbell D. G. et al.]. – Hampton Press Publishing Compani, Inc. Norfolk, Virginia, 1986. – 735 p.
Murthy V. Reconstruction of groin defects following radical inguinal lymphadenectomy: an evidence based review / V. Murthy, K. S. Gopinath // Indian J. Surg. Oncol. – 2012. – V. 3, № 2 (June 2012). – P. 130–138.
Пасичный Д. А. Пластика пролежней тазобедренной области лоскутом мышцы-напрягателя широкой фасции / Д. А. Пасичный // Клінічна хірургія. – 2015. – № 2. – С. 67–69.