• Pengyuan Leng, Yuhang Zhu, Yilong Dong, Huihui Li, Aili Du, Chunyuan Cai, Zhan Zhang, Xiaosai Zhou, and Min Liu.
• Department of Orthopaedics, The Third Affiliated Hospital Of Wenzhou Medical University, Wenzhou 325200,Zhejiang,China.
• Injury. 2024 Jul 1; 55 (7): 111552111552.

PurposeMorel-Lavallée lesion (MLL) is a closed soft-tissue degloving injurie resulting from shear forces. With the advent of endoscopic technology and advancements in surgical techniques, innovative solutions are now available. However, there are few data on mid-term results after treatment of MLL, especially regarding arthroscopic method. The objective of this study is to evaluate the clinical outcomes of endoscopic debridement combined with percutaneous cutaneo-fascial suture in treating MLL.MethodsA single-center retrospective study was conducted at a university teaching hospital investigating patients who underwent arthroscopic management of Morel-Lavallée lesion between 2014 and 2020.Patient demographics, postoperative recovery time, peri- and postoperative complications were investigated. Mid-term follow up clinical and radiological examinations were performed.ResultsThe retrospective study included 38 patients aged between 11 and 90 years, with an average age of 50.9 ± 16.9 years. These patients waited an average of 36.6±23.5days to return to work after operation. The average time to follow-up was from 3 to 9 years, averaging 5.0 ± 1.8 years. At the end of follow-up, only one complication of superficial skin necrosis occurred, accounting for 2.6%. The imaging assessment at the final follow-up indicated improvement over the postoperative period for all 38patients.ConclusionIn mid-term experience, endoscopic debridement combined with percutaneous cutaneo-fascial suture for MLL management is a safe and effective option.Copyright © 2024 Elsevier Ltd. All rights reserved.

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