STUDY DESIGN: Retrospective study. OBJECTIVES: Lipofilling was proposed to adult chronic @entity1566 @entity1 with history of ischial tuberosity @entity6227 surgery, at risk of recurrence of @entity6227 due to unsatisfactory adipose tissue thickness. SETTING: Fondation Hopale, Berck, France. METHODS: The three staged (Coleman) procedure for fat grafting consisted of water-jet assisted liposuction (Harvest-Jet), decantation, and reinjection of the autologous fat in three-dimensional plan. RESULTS: Ten consecutive @entity1 (eight paraplegics and two tetraplegics) benefited from bilateral ischial lipofilling, with additional lipofilling of the sacrum (three @entity1 ) and the trochanters (two @entity1 ). All @entity1 attended the seating clinic with pressure mapping before and after lipofilling for appropriate cushion prescription. Mean follow-up time was 16 months (4-24 months). Complications were limited to stage I (two @entity1 ) and stage II (one @entity1 ) @entity6227 , due to negligence. Excellent results with minimal fat wasting (between 10% and 25%) underneath the ischial tuberosity were seen in eight @entity1 , with significant improvement of adipose tissue thickness. Total fat waste was seen in two @entity1 , one of whom following dramatic @entity353 . Results were always good in the sacrum and trochanteric areas. Lipofilling allowed longer sitting times (three @entity1 ), improved skin quality (nine @entity1 ), improved quality of life (six @entity1 ), 'a better feeling of positioning in their wheelchair' (four @entity1 ), and decrease in @entity2371 (three @entity1 ). DISCUSSION AND CONCLUSION: Pelvic lipofilling is safe, cost-effective, and can now be considered in the primary prevention of pelvic @entity6227 in @entity1 with insufficient adipose tissue.

Lipofilling (fat grafting) in the secondary prevention of ischial tuberosity and pelvic XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity2371 :: ('MESH:D017699', 'Disease') :: ['pelvic pain'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injury'] @entity6227 :: ('MESH:D003668', 'Disease') :: ['pressure ulcers']
@entity6227 :: (MESH:D003668,Disease) :: ['pressure ulcers']
