Header

UZH-Logo

Maintenance Infos

Management of morel-lavallee lesion associated with pelvic and/or acetabular fractures


Steiner, Christian Luzius; Trentz, Otmar; Labler, Ludwig (2008). Management of morel-lavallee lesion associated with pelvic and/or acetabular fractures. European Journal of Trauma and Emergency Surgery, 34(6):554-560.

Abstract

Abstract : Objective: : Management of Morel-Lavallee soft tissue lesion (MLL) in patients with associated pelvic and/or acetabular fractures is still under discussion. Especially, the sequence of treatment of MLL soft tissue management and osteosynthesis of pelvic and acetabular injury remains controversial. Methods: : We report all consecutive patients with MLL associated with pelvic ring and/or acetabular fractures during an 8-year period at our hospital. Surgical access and techniques were analyzed concerning complications and outcome. Results: : Altogether, 20 patients were included in the study. One patient was treated conservatively and MLL healed without complications; 19 patients had an operative treatment of MLL. In 15 patients debridement was performed within one day after injury and in four patients with delay of 5 days at least. Ten patients had surgery for an associated pelvic ring or acetabular fracture. In four of them MLL was operated before, in six patients simultaneously to osteosynthesis. In three patients, the same surgical approach for osteosynthesis and debridement of MLL was used; none of them showed postoperative complications. Altogether, in nine operated patients (47.4%) MLL healed without any complications. Nine operated patients presented prolonged wound healing, however, during long term follow-up, all patients showed complete healing of the MLL. One patient died during resuscitive surgical procedures. Conclusions: : We recommend debridement for early and delayed treatment of MLL. Osteosynthesis during first debridement may be performed without adverse outcome. Identical surgical access for both procedures can be used. In case of repeated surgical debridement VAC® therapy may be a helpful tool for dead space reduction and wound conditioning

Abstract

Abstract : Objective: : Management of Morel-Lavallee soft tissue lesion (MLL) in patients with associated pelvic and/or acetabular fractures is still under discussion. Especially, the sequence of treatment of MLL soft tissue management and osteosynthesis of pelvic and acetabular injury remains controversial. Methods: : We report all consecutive patients with MLL associated with pelvic ring and/or acetabular fractures during an 8-year period at our hospital. Surgical access and techniques were analyzed concerning complications and outcome. Results: : Altogether, 20 patients were included in the study. One patient was treated conservatively and MLL healed without complications; 19 patients had an operative treatment of MLL. In 15 patients debridement was performed within one day after injury and in four patients with delay of 5 days at least. Ten patients had surgery for an associated pelvic ring or acetabular fracture. In four of them MLL was operated before, in six patients simultaneously to osteosynthesis. In three patients, the same surgical approach for osteosynthesis and debridement of MLL was used; none of them showed postoperative complications. Altogether, in nine operated patients (47.4%) MLL healed without any complications. Nine operated patients presented prolonged wound healing, however, during long term follow-up, all patients showed complete healing of the MLL. One patient died during resuscitive surgical procedures. Conclusions: : We recommend debridement for early and delayed treatment of MLL. Osteosynthesis during first debridement may be performed without adverse outcome. Identical surgical access for both procedures can be used. In case of repeated surgical debridement VAC® therapy may be a helpful tool for dead space reduction and wound conditioning

Statistics

Citations

Dimensions.ai Metrics
14 citations in Web of Science®
18 citations in Scopus®
Google Scholar™

Altmetrics

Downloads

44 downloads since deposited on 12 Dec 2018
14 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:National licences > 142-005
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Surgery
Health Sciences > Emergency Medicine
Health Sciences > Orthopedics and Sports Medicine
Health Sciences > Critical Care and Intensive Care Medicine
Uncontrolled Keywords:Hip fracture; Pelvic and acetabular fractures; Pelvis; Soft tissue injuries and infection; Wound healing
Language:English
Date:1 December 2008
Deposited On:12 Dec 2018 17:11
Last Modified:15 Apr 2021 14:53
Publisher:Springer
ISSN:1863-9933
OA Status:Green
Publisher DOI:https://doi.org/10.1007/s00068-007-7056-y
PubMed ID:26816279

Download

Green Open Access

Download PDF  'Management of morel-lavallee lesion associated with pelvic and/or acetabular fractures'.
Preview
Content: Published Version
Language: English
Filetype: PDF (Nationallizenz 142-005)
Size: 154kB
View at publisher