{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:13Z","timestamp":1756425793703,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,3,24]]},"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>Internal degloving injuries are commonly seen in the pelvis. Similar lesions in the distal femur are rare. They cause a separation between the subcutaneous layer and deep fascia, which results in blood, lymph, necrosed fat and fluid collection in the space. They result in infection and soft tissue complications. Treatment options include conservative management with compression dressings, percutaneous aspiration, mini-incision drainage and sclerodesis. Here we describe a case of closed internal circumferential degloving injury of the distal thigh with a distal femur fracture treated by an innovative technique involving negative pressure therapy, internal fixation of the fracture and secondary skin grafting.<\/jats:p>","DOI":"10.1136\/bcr-2022-253009","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T10:30:14Z","timestamp":1680863414000},"page":"e253009","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Negative pressure therapy in a scenario of distal femur fracture with internal degloving injury"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6430-858X","authenticated-orcid":false,"given":"Ravikumar","family":"Thoppanahalli Venkatesh","sequence":"first","affiliation":[{"name":"Orthopaedics, MS Ramaiah Medical College, Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dev Anand","family":"Galagali","sequence":"additional","affiliation":[{"name":"Orthopaedics, MS Ramaiah Medical College, Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aanchal","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Orthopaedics, MS Ramaiah Medical College, Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,4,7]]},"reference":[{"key":"2025082801150871000_16.4.e253009.1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199706000-00010"},{"key":"2025082801150871000_16.4.e253009.2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507299448"},{"key":"2025082801150871000_16.4.e253009.3","first-page":"376","article-title":"Progressive hematoma in an older adult: closed internal degloving injury of the knee","volume":"42","author":"Narang","year":"2013","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"2025082801150871000_16.4.e253009.4","first-page":"270","article-title":"The morel-lavall\u00e9e lesion: a conservative approach to closed degloving injuries","volume":"38","author":"Harma","year":"2004","journal-title":"Acta Orthop Traumatol Turc"},{"key":"2025082801150871000_16.4.e253009.5","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1016\/j.jor.2018.08.032","article-title":"The morel-lavall\u00e9e lesion and its management: a review of the literature","volume":"15","author":"Singh","year":"2018","journal-title":"J Orthop"},{"key":"2025082801150871000_16.4.e253009.6","doi-asserted-by":"publisher","DOI":"10.1007\/s002560050228"},{"key":"2025082801150871000_16.4.e253009.7","doi-asserted-by":"crossref","DOI":"10.1097\/GOX.0000000000002747","article-title":"Morel-lavall\u00e9e lesion with friction burn: management using veraflo VAC dressing, preserving body contour","volume":"8","author":"Blome-Eberwein","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2025082801150871000_16.4.e253009.8","first-page":"38","article-title":"One-stage operation for pelvis and acetabular fractures combined with morel-lavall\u00e9e injury by internal fixation associated with vacuum sealing drainage","volume":"28","author":"Wei","year":"2014","journal-title":"Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-253009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:15:19Z","timestamp":1756368919000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-253009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":8,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,4,7]]},"published-print":{"date-parts":[[2023,4]]}},"alternative-id":["10.1136\/bcr-2022-253009"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-253009","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}