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Results from surgical treatment of Morel-Lavallée lesions: prospective cohort study Work developed at the Department of Orthopedics and Traumatology, Faculdade de Medicina de Marília, Marília, SP, Brazil.

OBJECTIVE:

To present the results from early diagnosis and delayed surgical treatment of a cohort of patients who were diagnosed with Morel-Lavallée lesions.

METHODS:

Between January 2006 and December 2013, we performed delayed surgical debridement on Morel-Lavallée lesions, after delimitation of the local tissue necrosis, followed by closure through second intention and/or use of grafts/flaps.

RESULTS:

All the patients evolved with complete closure of the lesion after the delayed debridement, granulation of the operative wound and primary suturing or construction of pedunculated flaps. Three patients (50%) evolved with deep infectious processes due to the successive operative procedures.

CONCLUSION:

Whatever the treatment methods used are, they should be performed in a radical manner. If not, the patient will be at risk of evolution to septicemia and death.

Wounds and injuries; Soft-tissue injuries/pathology; Soft-tissue injuries/surgery; Multiple trauma


Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br