Our Experience of Rejuvenation of Atrophied Web Spaces in Leprosy Patients with Fat Grafting - (Pages 1-05)

Somashekar Gejje1, Arun K. Singh2, P.K. Srivastava3 and Amrita Anadakumar Hongal4

1Department of Plastic Surgery, The Bangalore Hospital, Bengaluru, India; 2Department of Plastic Surgery, King George’s Medical University, Lucknow, India; 3Department of Radiotherapy, King George’s Medical University, Lucknow, India and 4Department of Dermatology, The Bangalore Hospital, Bengaluru, India

Abstract: Atrophied web spaces are a common finding in the hands of leprosy affected hands and decreases the aesthetic appearance of the hands. Autologous fat transfer is an option for restoring the contour of the atrophied web spaces as it based on the principle “replace like with like”. Free fat graft harvested from abdomen/thigh/buttock. Derma fat harvested from the groin crease was also used to correct web space atrophy. Study included the reabsorption quantification using high-resolution ultrasound and patient/surgeon satisfaction scale.

Keywords: Web spaces, Fat Grafting, Atrophy, HRUS.