Publication:

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

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.