Autologous fat graft as treatment of post short stature surgical correction scars

Luca Maione, Antonio Memeo, Leopoldo Pedretti, Fabio Verdoni, Andrea Lisa, Valeria Bandi, Silvia Giannasi, Valeriano Vinci, Andrea Mambretti, Marco Klinger

Research output: Contribution to journalArticle

Abstract

Introduction Surgical limb lengthening is undertaken to correct pathological short stature. Among the possible complications related to this procedure, painful and retractile scars are a cause for both functional and cosmetic concern. Our team has already shown the efficacy of autologous fat grafting in the treatment of scars with varying aetiology, so we decided to apply this technique to scars related to surgical correction of dwarfism. A prospective study was conducted to evaluate the efficacy of autologous fat grafting in the treatment of post-surgical scars in patients with short-limb dwarfism using durometer measurements and a modified patient and observer scar assessment scale (POSAS), to which was added a parameter to evaluate movement impairment.

Patients and methods Between January 2009 and September 2012, 36 children (28 female and 8 male) who presented retractile and painful post-surgical scars came to our unit and were treated with autologous fat grafting. Preoperative and postoperative mean durometer measurements were analysed using the analysis of variance (ANOVA) test and POSAS parameters were studied using the Wilcoxon rank sum test.

Results There was a statistically significant reduction in all durometer measurements (p-value

Discussion Surgical procedures to camouflage scars on lower limbs are not often used as a first approach and non-surgical treatments often lead to unsatisfactory results. In contrast, our autologous fat grafting technique in the treatment of post-surgical scars has been shown to be a valuable option in patients with short-limb dwarfism.

Conclusion There was a reduction of skin hardness and a clinical improvement of all POSAS parameters in all patients treated. Moreover, the newly introduced POSAS parameter appears to be reliable and we recommend that it is included to give a more complete evaluation of patient perception.

Original languageEnglish
Pages (from-to)S126-S132
JournalInjury
Volume45
Issue numberS6
DOIs
Publication statusPublished - Dec 1 2014

Keywords

  • Autologous fat grafting
  • Durometer
  • Lipostructure
  • Patient and observer scar assessment scale (POSAS)
  • Short stature surgical correction

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Medicine(all)

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  • Cite this

    Maione, L., Memeo, A., Pedretti, L., Verdoni, F., Lisa, A., Bandi, V., Giannasi, S., Vinci, V., Mambretti, A., & Klinger, M. (2014). Autologous fat graft as treatment of post short stature surgical correction scars. Injury, 45(S6), S126-S132. https://doi.org/10.1016/j.injury.2014.10.036