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Percutaneous Quilting Technique for the Treatment of Morel-Lavallée Lesion

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Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Objective

This study looks at the outcome of percutaneous quilting technique for the treatment of closed degloving injuries or Morel-Lavallée lesions (MLL).

Design

Prospective single-centre nonrandomized case series.

Participants

Patients with MLL visiting our hospital between January 2012 and May 2018.

Method

The method involves percutaneous single-stage suturing of skin and deep fascia with heavy, non-absorbable, non-braided sutures starting from periphery to centre.

Outcome Measures

Resolution of the lesion.

Results

Twenty-two patients with MLL treated, which included 18 males and 4 females with an average age of 22 (range 16–52). Lesions varied in length from 12 to 60 cm. The average time gap from the injury to drainage of the lesion was 7 days (range 2–60 days). We followed these cases weekly for 4 weeks and then once a month until 6 months and then at the end of the year. All 22 cases healed uneventfully.

Conclusion

Percutaneous drainage along with suturing of the skin and subcutaneous tissue to deep fascia prevents the discordant movement and obliterates the dead space-aiding apposition of the layers. This is a simple and effective procedure with low recurrence rates that addresses the primary pathology of MLL.

Level of Evidence

Therapeutic level IV.

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Funding

The authors received no specific funding for this work.

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Authors and Affiliations

  1. Department of Orthopaedics, VPS Lakeshore Hospital, Kochi, Kerala, 682040, India

    Gautam Kumar, Alagu Pandiyan & Bipin Theruvil

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  1. Gautam Kumar
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  2. Alagu Pandiyan
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  3. Bipin Theruvil
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Correspondence to Bipin Theruvil.

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Conflict of interest

The authors declare that they or their immediate family do not have any conflict of interest regarding this study.

Ethical standard statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Kumar, G., Pandiyan, A. & Theruvil, B. Percutaneous Quilting Technique for the Treatment of Morel-Lavallée Lesion. JOIO 54, 580–586 (2020). https://doi.org/10.1007/s43465-020-00097-4

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  • DOI: https://doi.org/10.1007/s43465-020-00097-4

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