Autologous abdominal fat graft transposition for ischemic foot lesion with tendon exposure: a case report and literature review
DOI:
https://doi.org/10.18203/2349-2902.isj20261865Keywords:
Reconstructive surgery, Autologous fat grafting, Tendon exposure, Graft survivalAbstract
The management of complex wounds such as diabetic foot ulcers, chronic arterial insufficiency lesions, and sacral pressure ulcers is on the rise in recent years due to the chronic nature of these wounds, the potential to become infected, and the difficulty in healing. Microsurgical reconstruction and local flaps are options but may not be possible in patients with significant vascular compromise. The autologous fat grafting has evolved from a simple volume filler to a potent biological modulator because it contains adipose-derived stem cells (ASCs) and growth factors. We discuss the physiologic mechanics of fat grafting and its advantages and disadvantages in the context of complex ischemic lesions.
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