Reply to: Reconstruction of trochanteric pressure sores with pedicled anterolateral thigh myocutaneous flaps. J Plast Reconstr Aesthet Surg 2011 May;64(5):671-6

摘要

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.