title: Calf restoration with asymmetric fat injection in polio sequelae.
abstract: BACKGROUND
  Many things cause leg asymmetry and sequelae seen after poliomyelitis infections are still a cause of leg deformities. In this study, lipofilling and liposuction combinations are performed on patients with poliomyelitis sequelae. Volume deficiency is not the only leg problem with polio sequelae, leg length is also a problem. For this reason, the length deficiency must be addressed in order to achieve the desired symmetry. The aim of this study is correcting limb asymmetry by a method addressing both limb length deficiency by heel raise and volume deficiency by injection of fat based on corrected limb length.
  
  
  METHODS
  From 2011 through 2013, 10 female patients who had unilateral leg atrophy as a result of paediatric polio infections were included in our study. All of the patients were treated with liposuction and lipofilling combinations. During planning, a ridge was placed under the affected leg in order to equalize the lengths of both legs. The fat injection sites on the affected leg were marked to mimic the unaffected leg.
  
  
  RESULTS
  All the patients stated that they were satisfied with the results. Transient hypoesthesia was seen in only one patient, but this was spontaneously resolved six months later.
  
  
  CONCLUSIONS
  The study results indicate that the asymmetric fat injection procedure can be a good technique to use with patients who have polio sequelae, both with short legs and volume deformities.
  
  
  METHODS
  4.
authors.affiliation: Sisli Etfal Training and Research Hospital, Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul, Turkey. Electronic address: memetyazar@gmail.com.
authors.forename: Memet
authors.initials: M
authors.lastname: Yazar
authors.affiliation: Istanbul Training and Research Hospital, Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul, Turkey.
authors.forename: Sevgi
authors.initials: S
authors.lastname: Kurt Yazar
authors.affiliation: Istanbul University, Istanbul Medicine Faculty, Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul, Turkey.
authors.forename: Erol
authors.initials: E
authors.lastname: Kozanoğlu
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D007866:Leg / Q000601:surgery*; D017060:Patient Satisfaction; D011051:Poliomyelitis / Q000150:complications* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Fat injection; Leg asymmetries; Lipofilling; Polio sequelae