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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