Volumetric Analysis in Autologous Fat Grafting to the Foot
| Autor: | Beth R Gusenoff, Edward J. Ruane, Aaron Wyse, Danielle M. Minteer, Jeffrey A. Gusenoff |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty 030230 surgery Transplantation Autologous Fat pad Article law.invention 03 medical and health sciences Disability Evaluation 0302 clinical medicine Atrophy Randomized controlled trial law Musculoskeletal Pain medicine Humans Postoperative Period Prospective Studies Prospective cohort study Autografts Pain Measurement medicine.diagnostic_test business.industry Foot Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Surgery body regions Transplantation Clinical trial Treatment Outcome Adipose Tissue 030220 oncology & carcinogenesis Preoperative Period Female business human activities Foot (unit) |
| Zdroj: | Plast Reconstr Surg |
| ISSN: | 1529-4242 |
| Popis: | Pedal fat grafting is a safe, minimally invasive approach to treat pedal fat pad atrophy. Prior randomized controlled trials demonstrate that the fat as measured directly under the metatarsal heads disappears between 2 and 6 months after fat grafting, despite patients having relief for 2 years. The authors aim to use magnetic resonance imaging to further assess three-dimensional volume of fat in the foot after autologous fat grafting to help explain the mechanism for improved pain.A prospective study was performed using magnetic resonance imaging before and at 6 months after pedal fat grafting to assess changes in the three-dimensional morphology of the fat.Seventeen patients (six men and 11 women) underwent injections with a mean volume of 5.8 cc per foot. At 6 months, patients demonstrated increased tissue thickness (p = 0.008) and volume (p = 0.04). Improvements were seen in pain (p0.05) and activity (p0.05). Foot pressures and forces were significantly decreased and positively correlated with increased fat pad volume (p0.05).Pedal fat grafting significantly increases metatarsal fat pad volume. The distribution of the fat may contribute to lasting clinical relief in these patients.Therapeutic, IV. |
| Databáze: | OpenAIRE |
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