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.
1
While 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.To read this article in full you will need to make a payment
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References
- 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
Article info
Publication history
Published online: August 22, 2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.