Are Acellular Dermal Matrices Effective For Grade 0 Ulcers And Fat Pad Augmentation?

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Jodi Schoenhaus Gold, DPM, FACFAS

   The remarkable changes noted with the procedure include relief of symptoms and a return to activities that patients could not otherwise perform. I do see a diminished need for pads as well as less potential for non-adherence. Most importantly, the potential lack of progression from Grade 0 ulcerations to more advanced stages is evident.

   Dr. Schoenhaus Gold is a Fellow of the American College of Foot and Ankle Surgeons, and is board-certified in foot surgery and reconstructive rearfoot and ankle surgery by the American Board of Podiatric Surgery. She is in private practice in Boca Raton, Fla.

1. Chairman EL. Restoration of the plantar fat pad with autolipotransplantation. J Foot Ankle Surg. 1994;33(4):373-9.
2. Rocchio TM. Augmentation of atrophic plantar soft tissue with an acellular dermal allograft: a series review. Clin Podiatr Med Surg. 2009;26(4):545-57.

   For further reading, see “Emerging Concepts In Cosmetic Foot Surgery” in the April 2011 issue of Podiatry Today, “Injectable Silicone: Can It Mitigate Plantar Pedal Pressure?” in the September 2008 issue or the DPM Blog “A Closer Look At The Plantar Fat Pad In People With Diabetes” at .

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