Year 2018 / Volume 29 / Number 2

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Clinical Cases

Self-fat injection of surgical failure after a ledderhose illness. Clinical case

Rev. Esp. Pod. 2018; 29(2): 87-93 / DOI: 10.20986/revesppod.2018.1514/2018

Francisco Muñoz Piqueras (CLINICA PIQUERAS), Pedro Bejarano (CLINICA PIQUERAS), Cristina Batalla Salgado (CLINICA PIQUERAS), Miguel Muñoz Bautista (CLINICA PIQUERAS)


ABSTRACT

Methatarsalgia caused by insufficience of the plantar pad is the result of several intrinsic and extrinsic factors. The use of selffat infiltration as a therapy for refilling a tissular deficiency, added to the PRGF-Endoret biological therapy should be considered as an alternative therapy to other options with byocompatible materials, such as xenografts or allografts. This article presents a clinical case of a patient successfully treated by autologous lipoinjection in a loss of plantar fat in the area of the first metatarsal secondary to previous surgery due to Ledderhose’s disease. This is a new therapeutic option that could be very useful for the podiatrist in the treatment of this type of cases of located loss of plantar fat pad.



RESUMEN

Diversos factores intrínsecos y extrínsecos pueden provocar metatarsalgias por insuficiencia de la almohadilla grasa plantar. La utilización de la lipoinfiltración autóloga como terapia de relleno del defecto tisular de la grasa plantar junto con el uso de la terapia biológica con plasma rico en plaquetas podría considerarse como una terapia alternativa a las terapias actuales con biomateriales, xenoinjerto y aloinjertos. El presente artículo presenta un caso clínico de un paciente tratado de forma satisfactoria mediante lipoinfiltración autóloga en un defecto de la grasa plantar en la zona del primer metatarsiano secundario a una cirugía previa por enfermedad de Ledderhose. Se trata de una opción terapéutica novedosa que podría ser de gran utilidad para el podólogo en el tratamiento de este tipo de casos de pérdida localizada de almohadilla grasa plantar.


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ISSN: 0210-1238       Indexed in: