Should fat graft be recommended in tendon scar treatment? Considerations on three cases (two feet and a severe burned hand)

BACKGROUND: Lipostructure has been reported as a successful ancillary tool for surgery in tenolysis procedures, but to date no reports of its capability to resolve tendon adherence without further surgery have been reported. AIM: The aim of this study is to highlight the role of lipografting in the treatment of tendon and joint adherences. MATERIALS AND METHODS: In our experience, we started treating important tendon adherences together with nerve entrapment on the dorsal aspect of the foot in two cases and a severe burned hand. RESULTS: We achieved good results both in terms of function and sensory recovery. A twenty four month follow up showed good maintenance of the ROM. We also reported gaining of almost 30-40 degrees of a flexion contracure in the second finger of a burned hand, minimizing further surgery for scar contracture and tenoarthrolysis, with a stable follow up. CONCLUSIONS: We suggest that prior to refer to surgery scars involving tendons as well as joints could be considered for lipografting