open access

Vol 77, No 3 (2018)
ORIGINAL ARTICLES
Published online: 2018-01-11
Submitted: 2017-12-27
Accepted: 2018-01-04
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Morphometric properties of the tensor fascia lata muscle in human foetuses

O. Beger, T. Koç, B. Beger, D. Uzmansel, Z. Kurtoğlu
DOI: 10.5603/FM.a2018.0007
·
Pubmed: 29345722
·
Folia Morphol 2018;77(3):498-502.

open access

Vol 77, No 3 (2018)
ORIGINAL ARTICLES
Published online: 2018-01-11
Submitted: 2017-12-27
Accepted: 2018-01-04

Abstract

Background: In neonatal and early childhood surgeries such as meningomyelocele repairs, closing deep wounds and oncological treatment, tensor fasciae lata (TFL) flaps are used. However, there are not enough data about structural properties of TFL in foetuses, which can be considered as the closest to neonates in terms of sampling. This study’s main objective is to gather data about morphological structures of TFL in human foetuses to be used in newborn surgery. Materials and methods: Fifty formalin-fixed foetuses (24 male, 26 female) with gestational age ranging from 18 to 30 weeks (mean 22.94 ± 3.23 weeks) were included in the study. TFL samples were obtained by bilateral dissection and then surface area, width and length parameters were recorded. Digital callipers were used for length and width measurements whereas surface area was calculated using digital image analysis software. Results: No statistically significant differences were found in terms of numerical value of parameters between sides and sexes (p > 0.05). Linear functions for TFL surface area, width, anterior and posterior margin lengths were calculated as y = –225.652 + 14.417 × age (weeks), y = –5.571 + 0.595 × age (weeks), y = –4.276 + 0.909 × age (weeks), and y = –4.468 + 0.779 × age (weeks), respectively. Conclusions: Linear functions for TFL surface area, width and lengths can be used in designing TFL flap dimensions in newborn surgery. In addition, using those described linear functions can also be beneficial in prediction of TFL flap dimensions in autopsy studies.

Abstract

Background: In neonatal and early childhood surgeries such as meningomyelocele repairs, closing deep wounds and oncological treatment, tensor fasciae lata (TFL) flaps are used. However, there are not enough data about structural properties of TFL in foetuses, which can be considered as the closest to neonates in terms of sampling. This study’s main objective is to gather data about morphological structures of TFL in human foetuses to be used in newborn surgery. Materials and methods: Fifty formalin-fixed foetuses (24 male, 26 female) with gestational age ranging from 18 to 30 weeks (mean 22.94 ± 3.23 weeks) were included in the study. TFL samples were obtained by bilateral dissection and then surface area, width and length parameters were recorded. Digital callipers were used for length and width measurements whereas surface area was calculated using digital image analysis software. Results: No statistically significant differences were found in terms of numerical value of parameters between sides and sexes (p > 0.05). Linear functions for TFL surface area, width, anterior and posterior margin lengths were calculated as y = –225.652 + 14.417 × age (weeks), y = –5.571 + 0.595 × age (weeks), y = –4.276 + 0.909 × age (weeks), and y = –4.468 + 0.779 × age (weeks), respectively. Conclusions: Linear functions for TFL surface area, width and lengths can be used in designing TFL flap dimensions in newborn surgery. In addition, using those described linear functions can also be beneficial in prediction of TFL flap dimensions in autopsy studies.

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Keywords

tensor fascia lata; linear functions; surface area; foetus

About this article
Title

Morphometric properties of the tensor fascia lata muscle in human foetuses

Journal

Folia Morphologica

Issue

Vol 77, No 3 (2018)

Pages

498-502

Published online

2018-01-11

DOI

10.5603/FM.a2018.0007

Pubmed

29345722

Bibliographic record

Folia Morphol 2018;77(3):498-502.

Keywords

tensor fascia lata
linear functions
surface area
foetus

Authors

O. Beger
T. Koç
B. Beger
D. Uzmansel
Z. Kurtoğlu

References (28)
  1. Akyürek M, Safak T. Transfer of a free flap from an acutely burned donor site. Scand J Plast Reconstr Surg Hand Surg. 2004; 38(6): 370–372.
  2. Badura M, Grzonkowska M, Baumgart M, et al. Quantitative Anatomy of the Trapezius Muscle in the Human Fetus. Adv Clin Exp Med. 2016; 25(4): 605–609.
  3. Baker SR. Reconstruction of mandibular defects with the revascularized free tensor fascia lata osteomyocutaneous flap. Arch Otolaryngol. 1981; 107(7): 414–418.
  4. Beger O, Beger B, Uzmansel D, et al. Morphometric properties of the latissimus dorsi muscle in human fetuses for flap surgery. Surg Radiol Anat. 2017 [Epub ahead of print].
  5. Cheng N, Shou B, Zheng M, et al. Microneurovascular transfer of the tensor fascia lata musculocutaneous flap for reconstruction of the tongue. Ann Plast Surg. 1994; 33(2): 136–141.
  6. Chevray PM, Singh NK. Abdominal wall reconstruction with the free tensor fascia lata musculofasciocutaneous flap using intraperitoneal gastroepiploic recipient vessels. Ann Plast Surg. 2003; 51(1): 97–102.
  7. Chitale VR. Role of tensor fascia lata musculocutaneous flap in lymphedema of the lower extremity and external genitalia. Ann Plast Surg. 1989; 23(4): 297–304; discussion 305.
  8. Cutts A. Shrinkage of muscle fibres during the fixation of cadaveric tissue. J Anat. 1988; 160: 75–78.
  9. Demirkan F, Chen HC, Wei FC, et al. The versatile anterolateral thigh flap: a musculocutaneous flap in disguise in head and neck reconstruction. Br J Plast Surg. 2000; 53(1): 30–36.
  10. Enam SF, Waqas M, Rauf MY, et al. Congenital malignant melanoma of the scalp in a 25-day-old neonate. BMJ Case Rep. 2014; 2014.
  11. Flack NA, Nicholson HD, Woodley SJ. A review of the anatomy of the hip abductor muscles, gluteus medius, gluteus minimus, and tensor fascia lata. Clin Anat. 2012; 25(6): 697–708.
  12. Flack N, Nicholson HD, Woodley SJ. The anatomy of the hip abductor muscles. Clin Anat. 2013; 27(2): 241–253.
  13. Grzonkowska M, Badura M, Lisiecki J, et al. Growth dynamics of the triceps brachii muscle in the human fetus. Adv Clin Exp Med. 2014; 23(2): 177–184.
  14. Grzonkowska M, Baumgart M, Badura M, et al. Quantitative anatomy of the growing quadratus lumborum in the human foetus. Surg Radiol Anat. 2018; 40(1): 91–98.
  15. Hill HL, Nahai F, Vasconez LO. The tensor fascia lata myocutaneous free flap. Plast Reconstr Surg. 1978; 61(4): 517–522.
  16. Karagöz H, Öksüz S, Ülkür E, et al. Definitive foot drop deformity repair with tensor fascia latae myocutaneous flap. Microsurgery. 2013; 33(3): 223–226.
  17. Kędzia A, Janeczko M, Miśkiewicz K, et al. Morphometry of human musculus gluteus maximus in foetal period. Adv Clin Exp Med. 2014; 23(1): 9–16.
  18. Malas MA, esdicioglu K, Cankara N, et al. Fetal dönemde fetal yaşın belirlenmesi. S D Ü Tıp Fak Derg. 2007; 14(1): 20–24.
  19. Nahai F, Silverton JS, Hill HL, et al. The tensor fascia lata musculocutaneous flap. Ann Plast Surg. 1978; 1(4): 372–379.
  20. Ohno Y, Tanaka K, Kanematsu T, et al. Reconstruction of a pelvic floor defect using a pedicled tensor fascia lata flap: a new technique to prevent radiation injury for pediatric patients with advanced pelvic tumors. J Pediatr Surg. 2008; 43(5): 947–950.
  21. Ono J, Takeda A, Akimoto M, et al. Free tensor fascia lata flap and synthetic mesh reconstruction for full-thickness chest wall defect. Case Rep Med. 2013; 2013: 914716.
  22. Phillips DP, Lindseth RE. Ambulation after transfer of adductors, external oblique, and tensor fascia lata in myelomeningocele. J Pediatr Orthop. 1992; 12(6): 712–717.
  23. Posma AN. The innervated tensor fasciae latae flap in patients with meningomyelocele. Ann Plast Surg. 1988; 21(6): 594–596.
  24. Saito A, Minakawa H, Saito N, et al. Clinical experience using a tensor fascia lata flap in oncology patients. Surg Today. 2014; 44(8): 1438–1442.
  25. Shiraishi Y, Jin ZW, Mitomo K, et al. Foetal development of the human gluteus maximus muscle with special reference to its fascial insertion. Folia Morphol. 2018; 77(1): 144–150.
  26. Siddiqui A, Wiedrich T, Lewis VL. Tensor fascia lata V-Y retroposition myocutaneous flap: clinical experience. Ann Plast Surg. 1993; 31(4): 313–317.
  27. Standring S, Borley NR, Collins P, et al. Gray’s anatomy: the anatomical basis of clinical practice. 40th Ed. Elsevier: Churchill Livingstone, London. 2008.
  28. Yagi Y, Ueda K, Shirakabe M, et al. Reconstruction of knee ligaments with a free tensor fascia lata myocutaneous flap transfer. Br J Plast Surg. 2002; 55(2): 155–157.

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