Figure and table legends:
Figure 1. The fat grafts were filtered under sterile condition using a metal sieve and then washed with 0.9% saline solution to concentrate the fat particles and separate them from fluids and debris. The purified fat was then collected using a sterile spoon and placed in a 10 cc syringe. Various cannulas and syringes were used to inject the fat grafts to the wound site.
Figure 2. After debridement and wound care, autologous fat graft was transferred to the wound bed and environment approximately 1cm from wound edge and site by a sharp cannula or 18G syringe.
Figure 3,4. The diabetic patient with chronic non-healing ulcer for over 3 months. The patient was admitted to our clinic with infected, abscess and highly exudate foot ulcer. The wound was immediately debrided. Meanwhile, VAC therapy was started.
Figure 5. 19cc fat grafts were injected to the wound site. The wound was followed in closed dressing for 7 days and the wound was found to be suitable for skin graft at the end of the period.
Figure 6. The wound was left secondary healing and it was healed by 55 days.
Figure 7. 45-year-male patient applied to our clinic with the venous ulcer on his right cruris.
Figure 8. 10cc fat graft was transferred to the wound site in this operation. 10 days after the application, rapidly wound shrinkage was observed, it was left secondary healing. Total treatment time was 10 days and the wound completely healed in 16 days.
Figure 9. 51-year-male patient was presented with sign of odor, necrotic, moderately exudate and large foot ulcer by trauma. The wound was serially debrided and VAC therapy was applied.
Figure 10. Fat grafts injections were made as exudation was less and necrotic tissues properly cleaned. The method was applied two times. Total volume was 40cc.
Figure 11. As the wound was found to be suitable for skin grafting, it was covered and completely healed in total treatment period of 53 days.
Figure 12. A-55-year-old diabetic patient was presented with sign of odor, necrotic, moderately exudate and large foot ulcer. Debridement and VAC therapy was made for 5 days.
Figure 13. Single fat application of 10cc was made and the wound was covered by skin graft. Total healing time was 28 days.
Table 1. Summary of the patients.
Table 2. Distribution of qualitative variables
Table 3. Distribution of qualitative variables by Wound etiology.