CHSJ

Curr Health Sci J, vol. 44, no. 3, 2018

A Rare Case of Upper Calf Swelling and Necrosis: The Morel-Lavallée Lesion

[Case Report]

O. NICA(1), A. GRECU(2), E.A. DINCA(1), D. MARINESCU(3), M.E. CIUREA(4)


(1)Department of Plastic Surgery and Reconstructive Microsurgery, Clinical Emergency County Hospital of Craiova, PhD Student at University of Medicine and Pharmacy of Craiova,
(2)Department of Orthopaedics and Traumatology, Clinical Emergency County Hospital of Craiova, PhD Student at University of Medicine and Pharmacy of Craiova,
(3)Department of General Surgery, Clinical Emergency County Hospital, University of Medicine and Pharmacy of Craiova,
(4)Department of Plastic Surgery and Reconstructive Microsurgery, Clinical Emergency County Hospital of Craiova, University of Medicine and Pharmacy of Craiova


Abstract:

A 31-year-old patient presented in the Emergency Department with a tibial fracture following a car accident that crushed the lower third of his thigh and the proximal and median part of his calf. Tibial fracture fixation with an intramedullary rod, was complicated by a Morel-Lavallée lesion. Sequential debridement procedures were performed with partially successful granulation tissue proliferation under NPWT (Negative-Pressure Wound Therapy). To further promote the already delaying granulation, plastic surgeons opted for PRP/PRF (Platelet Rich Plasma/Platelet Rich Fibrin) which allowed appropriate skin grafting. In our opinion, PRP/PRF should be considered as a viable adjuvant therapy to promote granulation.


Keywords: Tibial fracture, Platelet Rich Plasma/Platelet Rich Fibrin, skin grafting, granulation tissue



Corresponding: Alexandru Grecu, Clinical Emergency County Hospital of Craiova, Str. Tabaci, no. 1, Craiova, Dolj County, e-mail: alexandrugrecu@yahoo.com


DOI 10.12865/CHSJ.44.03.17 - Download PDF
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