The deep fascia of the thigh, or fascia lata, is a dense fibrous envelope encircling all muscular compartments of the thigh. It is thickened laterally as the iliotibial band and sends the medial and lateral intermuscular septa to the femur. Proximally it attaches to the inguinal ligament, sacrotuberous ligament, and ischium.
Contains and compartmentalises the thigh muscles, transmits forces via the IT band, and contributes to the lumbopelvic stabilisation system.
The fascia lata is harvested as a durable autograft for reconstructive surgery, including abdominal wall repair, dural repair, and eardrum reconstruction. Fascia lata graft harvest from the lateral thigh leaves a donor scar but rarely causes functional deficit. Tensor fasciae latae tightness is assessed clinically with the Ober test.
Donor site pain, lateral cutaneous nerve injury, and seroma formation following fascia lata graft harvest for reconstructive surgery, managed with compression and physical therapy.
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