Autologous platelet-rich fibrin to treat difficult nonhealing diabetic foot wounds with exposed bone – A case report of this safe, effective, and economical method

Diabetic wounds, especially with exposed bones, are notorious to cause complications. Various drugs and substances have been tried by different researchers in their quest for early painless healing. We report our patient with peripheral vascular disease (PVD) and chronic nonhealing wound with expose...

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Bibliographic Details
Published in:Amrita Journal of Medicine 2020-10, Vol.16 (4), p.181-184, Article 181
Main Authors: Menon, Riju, Pillai, Anoop, Shenoy, Veena, Vijayaraghavan, Sundeep
Format: Article
Language:English
Subjects:
Analysis
Care and treatment
Diabetic foot
diabetic foot
platelet-rich fibrin
surgery
wound healing
Fibrin
Methods
Sulbactam
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Summary:Diabetic wounds, especially with exposed bones, are notorious to cause complications. Various drugs and substances have been tried by different researchers in their quest for early painless healing. We report our patient with peripheral vascular disease (PVD) and chronic nonhealing wound with exposed bone successfully treated with autologous platelet-rich fibrin (PRF). Our patient with a diabetic foot ulcer and PVD underwent an amputation of the great toe. His wound could not be closed, and there was exposed bone on the floor of the ulcer. Regular treatment may have caused nonhealing, osteomyelitis, and spreading gangrene. His PVD contraindicated a vascular flap cover. Hence, we tried the use of autologous PRF on the wound. The hospital stay was minimized, adjuvant procedures were not needed, and the wound healed well in 4 weeks. PRF is a very economical and safe adjuvant in the fight to treat difficult wounds.
ISSN:0975-9662
2772-2805
DOI:10.4103/amjm.amjm_58_20