Abstract

Diabetic foot ulcer is one of the common conditions faced by surgeons. A multidisciplinary team approach is mandatory for successful treatment of the condition. Its complexity is mainly due to the involvement of multiple organs and systems. Hence the condition is often found to be difficult to manage. The general concept is that appropriate and timely healing of the wound can prevent various wound-related complications like gangrene, auto amputations, septicemia, multiorgan failure, disfigurement, deformities etc. Adjuvant therapy not only increases wound healing but also can reduce the requirement of graft/flap by reducing the size of the defect and prevent the incidence of various complications like gangrene, amputation. Through this article we present use of Autologous Platelet Rich Plasma (APRP) therapy combined with other modalities of therapy like external tissue expansion and wound closure (ETEWC) technique using hooks and rubber bands as an effective tool to enhance healing in wound bed preparation of diabetic foot.

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