Rev. Esp. Pod. 2018; 29(2): 87-93 / DOI: 10.20986/revesppod.2018.1514/2018
Francisco Muñoz Piqueras, Pedro Bejarano, Cristina Batalla Salgado, Miguel Muñoz Bautista
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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Publication history
Received: 20/02/2018
Accepted: 07/11/2018
Online First: 27/11/2018
Published: 21/12/2018
Article revision time: 259 days
Article Online First time: 280 days
Article editing time: 304 days
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