Management of Morel-Lavallee Lesion Associated with Pelvic and/or Acetabular Fractures

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Christian Luzius SteinerLudwig Labler

Abstract

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. 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. 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 prolon...Continue Reading

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Citations

Jan 1, 2014·World Journal of Emergency Surgery : WJES·Eun Young RhaSung-No Jung
Feb 28, 2013·Archives of Orthopaedic and Trauma Surgery·Chao ShenXiao-Dong Chen
Jun 27, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mostafa A Ayoub
Oct 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·W LehmannJ M Rueger
Dec 15, 2010·Operative Orthopädie und Traumatologie·Daniel Köhler, Tim Pohlemann
Feb 18, 2011·Operative Orthopädie und Traumatologie·D Köhler, T Pohlemann
Apr 23, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Mostafa A AyoubOsama A Seleem
Aug 21, 2015·Revista do Colégio Brasileiro de Cirurgiões·Daniel Francisco MelloAmérico Helene
Mar 15, 2011·The Journal of Trauma·Marius Johann Baptist KeelJohannes Dominik Bastian

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