Evidence map›Paper›PMID 26481707›Full record

ArticleSpinal cord2016

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

J G Previnaire, P Fontet, C Opsomer, M Simon, T Ducrocq

Abstract read
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In one paragraph

Article in Spinal cord, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Exploring How Subcutaneous Fat Prevents Pressure Sores: A Study Using Ultrasound and Finite Element Analysis.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

J G PrevinaireSpinal Cord Department, Centre Calvé, Fondation Hopale, Berck sur mer, France.
P FontetSpinal Cord Department, Centre Calvé, Fondation Hopale, Berck sur mer, France.
C OpsomerSpinal Cord Department, Centre Calvé, Fondation Hopale, Berck sur mer, France.
M SimonSpinal Cord Department, Centre Calvé, Fondation Hopale, Berck sur mer, France.
T DucrocqSpinal Cord Department, Centre Calvé, Fondation Hopale, Berck sur mer, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective study.

objectivesLipofilling was proposed to adult chronic spinal cord injury patients with history of ischial tuberosity pressure ulcers surgery, at risk of recurrence of pressure ulcers due to unsatisfactory adipose tissue thickness.

settingFondation Hopale, Berck, France.

methodsThe 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.

resultsTen consecutive patients (eight paraplegics and two tetraplegics) benefited from bilateral ischial lipofilling, with additional lipofilling of the sacrum (three patients) and the trochanters (two patients). All patients 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 patients) and stage II (one patient) pressure ulcers, due to negligence. Excellent results with minimal fat wasting (between 10% and 25%) underneath the ischial tuberosity were seen in eight patients, with significant improvement of adipose tissue thickness. Total fat waste was seen in two patients, one of whom following dramatic weight loss. Results were always good in the sacrum and trochanteric areas. Lipofilling allowed longer sitting times (three patients), improved skin quality (nine patients), improved quality of life (six patients), 'a better feeling of positioning in their wheelchair' (four patients), and decrease in pelvic pain (three patients). DISCUSSION AND

conclusionPelvic lipofilling is safe, cost-effective, and can now be considered in the primary prevention of pelvic pressure ulcers in patients with insufficient adipose tissue.

Indexed as

Adipose TissueAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPelvic BonesPlastic Surgery ProceduresPressure UlcerRetrospective StudiesSecondary PreventionSpinal Cord InjuriesTreatment Outcome

Identifiers

PMID26481707

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.