The fascia lata is the deep fascia of the thigh enclosing all thigh musculature, thickened laterally as the iliotibial band, providing the intermuscular septa dividing the thigh into anterior, posterior, and medial compartments.
Provides the fascial envelope for compartment pressure maintenance, creates intermuscular septa, forms the ITB laterally, and provides TFL and gluteus maximus insertion.
Compartment syndrome requires fasciotomy. Fascia lata grafts used in TFL flaps and ligament reconstruction. Harvest leaves no functional deficit.
Raised fascial compartment pressure after crush injury requiring urgent three-compartment fasciotomy.
Strip harvested for ligament reconstruction — ACL, UCL, orbital and eyelid reconstruction — with no functional donor deficit.
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