Vl. Lewis et al., A MUSCLE-SPARING TECHNIQUE FOR RECONSTRUCTION OF THE DEFECT LEFT AFTER EXCISIONAL HIP-ARTHROPLASTY, The Journal of arthroplasty, 9(2), 1994, pp. 193-198
Muscle flap closure is the treatment of choice for coverage of the fai
led hip arthroplasty defect. Several described muscle flaps work well,
but they sacrifice functioning parts of the abdominal wall or quadric
eps femoris mechanisms. The authors describe the use of the tenser fas
cia lata musculocutaneous flap for this purpose. The technique describ
ed has been previously used successfully to reconstruct over 100 troch
anteric pressure sores. This flap spares more important muscles, requi
res no skin graft, and exposes the deep wound well for debridement.