Evidence map›Paper›PMID 32158824›Full record

ArticleJPRAS open2018

Burn scar regeneration with the "SUFA" (Subcision and Fat Grafting) technique. A prospective clinical study.

Francesco Gargano, Scott Schmidt, Peter Evangelista, Leslie Robinson-Bostom, David T Harrington, Kristie Rossi, Yfan Guo, Paul Liu

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in JPRAS open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. The Utility of Fat Grafting to Manage Burn Scars: A Systematic Review.Journal of burn care & research : official publication of the American Burn Association · 2025
    Pooled it
  2. Prevention and Treatment of Burn Scar Contracture: A Practical Review.Plastic and reconstructive surgery. Global open · 2024
    Review
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Francesco GarganoThe Institute for Advanced Reconstruction at The Plastic Surgery Center, Sycamore Ave., Shrewsbury, NJ, United States.
Scott SchmidtDivision of Plastic Surgery, The Warren Alpert Medical School of Brown University, Richmond St., Providence, RI, United States.
Peter EvangelistaDepartment of Radiology, The Warren Alpert Medical School of Brown University, Richmond St., Providence, RI, United States.
Leslie Robinson-BostomDepartment of Dermatology, The Warren Alpert Medical School of Brown University, Richmond St., Providence, RI, United States.
David T HarringtonDepartment of Surgery, The Warren Alpert Medical School of Brown University, Richmond St., Providence, RI, United States.
Kristie RossiThe Institute for Advanced Reconstruction at The Plastic Surgery Center, Sycamore Ave., Shrewsbury, NJ, United States.
Yfan GuoDivision of Plastic Surgery, The Warren Alpert Medical School of Brown University, Richmond St., Providence, RI, United States.
Paul LiuDivision of Plastic Surgery, The Warren Alpert Medical School of Brown University, Richmond St., Providence, RI, United States.
Brown University · USInstitute for Advanced Reconstruction · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment of burn scars with traditional surgical techniques is challenging due to recurrent contractures. Fat grafting has been previously used in small clinical series and results are often biased by lack of scientific validating methods. Fat grafting in clinical practice is often evaluated for its filler properties and rarely scientifically validated for its potential in dermal regeneration. Animal studies have shown dermal regeneration with new deposition and reorientation of the collagen fiber. Our study aims to apply the validity of in vitro studies to clinical practice.

methodsOur study prospectively evaluated outcomes in 12 patients treated with the "SUFA" technique (Subcision and Fat Grafting) for debilitating contracted burns scars limiting range of motion. Results were evaluated clinically with the Vancouver scale and by range of motion at 1, 3, 6 and 12 months. Dermal regeneration was evaluated by looking at dermis thickening using high definition ultrasound and scar remodeling looking at reorientation and new deposition of collagen fibers with hematoxylin-eosin histology and monoclonal antibodies against collagen type 1 and 3.

resultsStatistically significant clinical improvements in range of motion of the affected joints was observed (

conclusionsOur results present the first clinical scientific evidence of dermal regeneration in fat grafting. Using monoclonal antibodies and high definition ultrasounds, we demonstrate the first evidence of dermis regeneration in a clinical scenario.

Indexed as

Decubitus ulcersDe-epithelialized flapPressure sore protocolPressure sore treatmentPressure ulcerPrevention of pressure ulcers

Identifiers

PMID32158824
PMCPMC7061675
OpenAlexW2804477561

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.