Tensor Fasciae Lata for Groin Reconstruction

Because the groin combines elements of myofascial strength, which influences the integrity of the abdominal cavity, with the role of being a conduit for neurovascular structures to the lower limb, reconstruction demands that the repair be strong as well as provide adequate soft tissue to protect these structures. The tensor fasciae lata (TFL) flap is supplied by the transverse or ascending branch of the lateral femoral circumflex artery. It is usually used as a pedicled flap and reaches the trochanteric area and the groin. It is one of the workhorse flaps for treatment of decubitus ulcers and is very durable. The flap consists of skin and fascia lata. The fascial component can be extended to include more fascia while still allowing closure of the skin donor defect