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.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Kumar G,Pandiyan A,Theruvil Bdoi
10.1007/s43465-020-00097-4subject
Has Abstractpub_date
2020-04-05 00:00:00pages
580-586issue
5eissn
0019-5413issn
1998-3727pii
97journal_volume
54pub_type
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