title: [Correction of an amyotrophic dorsal face of hands due to neurological disease with autologous fat cells transplant: An original case].
abstract: BACKGROUND
  Autologous fat grafting allows the correction of many volume defects whether natural or post-traumatic. In hand surgery, the most common indication is the rejuvenation of the dorsal aspect of the hands. We present, here, an original case of amyotrophic hands lipofilling due to Charcot-Marie-Tooth disease.
  
  
  METHODS
  The patient had a bilateral and asymmetric amyotrophy of the intermetacarpal spaces responsible of a social handicap. Autologous fat grafting, according to Coleman's procedure, was done at the dorsal aspect of the two hands, three years apart. The adipocyte cells were taken on the medial side of the thighs, knees and on the abdomen. Five and eight years after the procedure, the results were evaluated with satisfactory results for the patient and the surgeon.
  
  
  RESULTS
  Autologous fat grafting allowed the filling of the intermetacarpal spaces which last over time. The satisfaction rate was high in the patient and the surgeon.
  
  
  CONCLUSIONS
  Autologous fat cells give an aesthetic correction of neurological amyotrophic hands.
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, pavillon chirurgical B, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France. Electronic address: laetitia.ruffenach@chru-strasbourg.fr.
authors.forename: L
authors.initials: L
authors.lastname: Ruffenach
authors.affiliation: Department of Hand Surgery, SOS Main, centre de chirurgie orthopédique et de la main, University Hospital of Strasbourg, fédération de médecine translationnelle de Strasbourg, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Gouzou
authors.affiliation: Department of Hand Surgery, SOS Main, centre de chirurgie orthopédique et de la main, University Hospital of Strasbourg, fédération de médecine translationnelle de Strasbourg, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, pavillon chirurgical B, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Bruant Rodier
authors.affiliation: Service de chirurgie plastique, reconstructrice et esthétique, pavillon chirurgical B, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, BP 426, 67091 Strasbourg cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Bodin
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D064592:Autografts; D002607:Charcot-Marie-Tooth Disease / Q000150:complications*; D004954:Esthetics; D005260:Female; D006225:Hand / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009133:Muscular Atrophy; D017060:Patient Satisfaction; D016896:Treatment Outcome
keywords: Amyotrophie; Amyotrophy; Espaces intermétacarpiens; Hands; Intermetacarpal areas; Lipofilling; Lipomodelage; Mains; Maladies neurologiques; Neurological diseases