Comparison of hatchet-shaped tensor fascia lata flap and pedicle anterior lateral thigh flap for treatment of trochanteric sores: A retrospective analysis of 48 patients

Chun-Chang Li, Shun-Cheng Chang, Ju-Peng Fu, Yuan-Sheng Tzeng, Chih-Hsin Wang, Tim-Mo Chen, Shyi-Gen Chen

Research output: Contribution to journalArticle

5 Citations (Scopus)


PURPOSE: Surgical reconstruction of trochanteric sores remains a formidable task for plastic surgeons. Diverse types of flaps have been proposed for use in this situation, each with particular advantages and limitations. This study aimed to compare the surgical outcomes between the hatchet-shaped tensor fascia lata (TFL) flap and the pedicle anterior lateral thigh (ALT) flap in treatment of trochanteric sores. METHODS: Forty-eight patients with trochanteric sores were operated on under spinal or general anesthesia using TFL or ALT flaps between August 2007 and November 2010. In the TFL group, 26 hatchet-shaped TFL musculocutaneous flaps were performed on 24 patients. In the ALT group, 25 pedicle ALT musculocutaneous flaps were performed on 24 patients. Surgical outcomes were retrospectively analyzed. RESULTS: No significant difference was detected between the TFL and ALT groups in terms of age, preoperative disease period, obesity (body mass index), American Society of Anesthesiologists score, comorbidity, the defect size, follow-up time, and complication rate. The recurrence rate and the flap size were significantly higher in the TFL group than in the ALT group (P = 0.022; P <0.001). The operation time was longer in the ALT group (P <0.001). CONCLUSIONS: The pedicle ALT flap is a more effective treatment than the TFL flap for the surgical management of trochanteric sores. The hatchet-shaped TFL flap should be reserved for the reconstruction of recurrent trochanteric sores or for use in the critically ill patient who cannot tolerate longer anesthesia and operation time. © 2013 by Lippincott Williams & Wilkins.
Original languageEnglish
Pages (from-to)659-663
Number of pages5
JournalAnnals of Plastic Surgery
Issue number6
Publication statusPublished - 2013
Externally publishedYes



  • anterior lateral thigh flap
  • pressure sore
  • tensor fascia lata flap
  • trochanteric sore
  • adult
  • aged
  • article
  • case report
  • comparative study
  • decubitus
  • evaluation study
  • fascia lata
  • female
  • femur
  • follow up
  • human
  • male
  • methodology
  • middle aged
  • myocutaneous flap
  • plastic surgery
  • retrospective study
  • thigh
  • treatment outcome
  • very elderly
  • Adult
  • Aged
  • Aged, 80 and over
  • Fascia Lata
  • Female
  • Femur
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Myocutaneous Flap
  • Pressure Ulcer
  • Reconstructive Surgical Procedures
  • Retrospective Studies
  • Thigh
  • Treatment Outcome

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