Proximal tensor fasciae latae (tensor fasciae latae-gluteus medius) musculocutaneous flap - a forgotten flap for trochanteric pressure injury: a case report

C. Sai Kumar; Guruaribam Nilamani Sharma; Tamphaleima Sorokhaibam

doi:10.18203/2349-2902.isj20251549

Authors

C. Sai Kumar Department of Plastic and Reconstructive Surgery, Shija Hospitals and Research Institute, Imphal West, Manipur, India
Guruaribam Nilamani Sharma Department of Plastic and Reconstructive Surgery, Shija Hospitals and Research Institute, Imphal West, Manipur, India
Tamphaleima Sorokhaibam Department of Plastic and Reconstructive Surgery, Shija Hospitals and Research Institute, Imphal West, Manipur, India

DOI:

https://doi.org/10.18203/2349-2902.isj20251549

Keywords:

Pressure injury, Trochanter, Proximal TFL, Gluteus medius

Abstract

Pressure sores over the trochanteric region are a common complication in paraplegic patients, often requiring surgical intervention due to deep tissue loss and bony prominence. We present a case of a 45-year-old paraplegic male with a chronic left trochanteric ulcer managed using a proximally based tensor fascia lata (TFL) flap incorporating the anterior gluteus medius. After thorough debridement and ostectomy, the flap provided durable, tension-free coverage. At 1-year follow-up, the patient showed complete healing with no recurrence. This technique offers a reliable and muscle-sparing option for reconstructing trochanteric pressure ulcers in non-ambulatory patients.

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