Fat Pad Augmentation Using Human Adipose Allograft Yields Durable Closure in Recalcitrant Plantar Ulcers

Fat Pad Augmentation Using Human Adipose Allograft Yields Durable Closure in Recalcitrant Plantar Ulcers

Summary: A case series published September 2025 in *Wounds* reports on 8 patients with chronic recalcitrant plantar ulcers treated intraoperatively with human cryopreserved adipose tissue allograft. The augmentation of the fat pad provided cushioning and contributed to durable wound closure in this difficult-to-heal population.

Key Highlights:

  • Allograft used to restore or augment fat pad under pressure-bearing plantar ulcers that failed standard care.
  • Patients showed durable closure, with reduced recurrence, likely due to improved cushioning and reduced mechanical stress.
  • Provides an alternative for patients where repeated ulceration is driven by fat pad breakdown or loss of plantar padding.

Read full case series in *Wounds*

Keywords:
fat pad augmentation,
adipose allograft,
plantar ulcers,
recalcitrant wounds