Assessing pressure ulcers (PUs) in early stages allows patients to receive safer treatment.Up to now, in addition to clinical evaluation,\nultrasonography seems to be the most suitable technique to achieve this goal. Several treatments are applied to prevent ulcer\nprogression but none of them is totally effective. Furthermore, the in-depth knowledge of fat regenerative properties has led to a\nwide use of it.With this study the authors aim at introducing a new approach to cure and prevent the worsening of early-stage PUs\nby using fat grafts. The authors selected 42 patients who showed clinical and ultrasonographic evidence of early-stage PUs. Values\nof skin thickness, fascial integrity, and subcutaneous vascularity were recorded both on the PU area and the healthy trochanteric\none, used as control region. Fat grafting was performed on all patients. At three months, abnormal ultrasonographic findings, such\nas reduction of cutaneous and subcutaneous thickness, discontinuous fascia, and decrease in subcutaneous vascularity, all were\nmodified with respect to almost all the corresponding parameters of the control region. Results highlight that the use of fat grafts\nproved to be an effective treatment for early-stage PUs, especially in the care of neurological and chronic bedridden patients.
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