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Patient Selection for Pedal Soft Tissue Augmentation.

Marissa E Baron1, Danielle M Minteer1, Beth R Gusenoff1

  • 1School of Medicine and the Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, PA.

Aesthetic Surgery Journal. Open Forum
|April 1, 2021
PubMed
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Long-Term Outcomes of Autologous Fat Grafting for Pedal Fat Pad Atrophy.

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Pedal fat grafting improves pain for foot conditions. Female patients showed the most pain improvement after surgery, with BMI and injection laterality also influencing outcomes.

Area of Science:

  • Orthopedics
  • Plastic Surgery
  • Regenerative Medicine

Background:

  • Forefoot fat pad atrophy causes pain and functional impairment.
  • Pedal fat grafting is a treatment option for this condition.

Purpose of the Study:

  • To investigate if patient demographics and foot characteristics influence outcomes after pedal fat grafting.
  • To identify factors affecting pain and functional improvement post-surgery.

Main Methods:

  • Retrospective review of patients undergoing autologous fat injections for pedal fat pad atrophy.
  • Analysis of patient characteristics (gender, age, BMI, arch type, medical history) correlated with pain and functional improvement.

Main Results:

  • Female gender was the only characteristic significantly correlated with improved pain at 12 months (P=0.02).

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  • Body Mass Index (BMI) and bilateral injections impacted the improvement course.
  • Rigid, high-arched feet were risk factors for pain and overrepresented in the study group.

    • Conclusions:

    • Female gender is associated with better pain relief following pedal fat grafting.
    • Patient characteristics like BMI and injection laterality influence surgical outcomes.
    • Soft tissue augmentation should be considered for all patients with suspected pedal fat pad atrophy.