Clinical and Histo-Pathological Evaluation of Fat Grafting in Chronic Leg Ulcers

Farahat, Ayman; Al Shahat, Osama; Al Khawaga, Ismaeil; Ibrahim, Mohamed

doi:10.21608/ejprs.2018.215080

Clinical and Histo-Pathological Evaluation of Fat Grafting in Chronic Leg Ulcers

Document Type : Original Article

Authors

¹ The Department of Plastic Surgery, Faculty of Medicine, Al-Azhar University

² The Department of General Surgery , Faculty of Medicine, Al-Azhar University

³ The Departments of Plastic Surgery, Faculty of Medicine, Al-Azhar University

10.21608/ejprs.2018.215080

Abstract

Background: The application of autologous lipo-transfer
(fat grafting) in reconstructive surgery becomes more popular
now as an evidence for the regenerative effect of fat. In our
study we used the autologous lipo-transfer for treatment of
chronic ulcers at leg.
Methods: Twenty patients with chronic leg ulcers included
in our study, ten of them injected with autologous fat (group < br />A), while the other ten patients were on the usual dressings
for chronic ulcers (group B), the duration of our study was
for six months with patient age in both group range from 15-
50 years with mean age 35.3 years for injected group and
34.1 for the conservative group.
Results: Eight of ten chronic leg ulcers (80 percent) that
injected with autologus fat healed completely within average
of 8 weeks. With only 2 complicated, one complicated by
infection while the other with resorption of fat. Only five
patients at the conservative group healed within three months.
Conclusion: We described in our study a simple technique
to improve wound healing in chronic leg ulcers with a background
of vascular diseases, diabetic or traumatic accidents
where other interventional options to achieve wound healing
have failed.

Keywords

Main Subjects

Lower extremity and foot

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