Current techniques for constructing fascia lata aortic valves result in a valve in which redundant cusp tissue is inadvertently incorporated in the proximal part of the cusp. This alters the flow character of the valve and produces a significant stenosis. An alternative technique, based on the normal anatomy of the aortic valve, is suggested which eliminates this fault. The technique is simple ...

wall defect reconstruction.1, 2 Anterolateral thigh flaps, tensor fascia lata musculocutaneous flaps, and their combination are reliable and are often used.3, 4 Despite the reported efficacy, it is unclear how large an abdominal defect can be closed with a single thigh flap. The objective of this study was to compare the length of the abdomen and thigh, and to determine whether a thigh flap is ...

The reconstruction of complex defects in the abdominal wall after wound infection or trauma can be challenging. In this article, a superficial inferior epigastric artery flap, a tensor fascia lata flap, and an anterolateral thigh flap used for 3 different abdominal wall reconstructions are described. The authors conclude that different specific abdominal wall defects can be successfully reconst...

Chronic ruptures of the extensor mechanism of the knee are uncommon injuries, and previously reported literature assumes the presence of an intact patella for repair. We present a case of chronic rupture following patellectomy done twelve years previously. The defect in the extensor apparatus was extensive (18cm), and this was bridged using a large fascia lata graft from the opposite thigh, wit...

A newly designed strut-supported 'frustum' fascia lata valve has been described for replacement of the mitral valve. It offers the advantages of autologous tissue leaflets, ease of construction and insertion, central flow through an unobstructed mobile annulus, no ventricular outflow obstruction, and minimal intracardiac prosthetic material. Initial clinical trials which have been carried out s...

Surgical technique involves a lateral decubitus position, with the upper operated limb draped free. The skin incision is made directly lateral or with a slight posterior curve, and a split is made in the tensor fascia lata and gluteus maximus exposing the trochanter. The anterior 30% to 40% of the gluteus medius attachment to the trochanter is elevated via a curving subperiosteal incision. A ve...

Nasal dermoid sinus cysts are the most common congenital midline nasal lesion, accounting for 1% to 3% of all dermoid cysts, and 4% to 12% of all head and neck dermoids. Selection of the appropriate reconstruction technique, after dermoid resection, is important for treatment. Here we describe the successful management of a case with a nasal dermoid sinus cyst using an open rhinoplasty approach...

Článek je pokračováním cyklu o významu fascií pro regionální anestezii. Tato kapitola se pokouší vnést do souladu anatomickou strukturu dolní končetiny s požadavky na Základní studovanou strukturou jsou hluboké fascie v oblasti stehna - fascia lata a myofasciální struktury. Fascia rozděluje svalstvo tří kompartmentů. Mohutnost znemožňuje průnik lokálního anestetika ...