We read with interest the paper by Chen et al. reporting their experience with the pedicled myocutaneous antero-lateral thigh flap in reconstruction of trochanteric pressure sores.
1While the results are clearly excellent and their work congratulated it is worthwhile commenting upon the fundamental difference in body habitus that exists between the Asian population, which is generally more slender, and the UK population which, in our experience, negates some of the advantages presented. While the aesthetic advantages are clearly described with supporting figures, we feel that these are lost, even in the paraplegic and medically debilitated patient. We found the flap to be bulky, and often necessitated an unsightly split skin graft to the donor site.
- Wang C.H.
- Chen S.Y.
- Fu J.P.
- et al.
Reconstruction of trochanteric pressure sores with pedicled anterolateral thigh myocutaneous flaps.
J Plast Reconstr Aesthet Surg. 2011; 64: 671-676
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- Reconstruction of trochanteric pressure sores with pedicled anterolateral thigh myocutaneous flaps.J Plast Reconstr Aesthet Surg. 2011; 64: 671-676
- Perforator-based bilobed flaps in patients with a sacral sore: Application of a schematic design.J Plast Reconstr Aesthet Surg. 2011; 64: 790-795
Published online: August 22, 2011
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.