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New Indian Journal of Surgery

Volume  14, Issue 3, July-September 2023, Pages 9-14
 

Original Article

Plasma or Fibrin Matrix? A Comparative Study between PRP versus PRFM Therapy in Diabetic Foot Ulcer

Ashwath Rao1, Manikanta K. S.2, Mir Md Noorul Hassan3

1Post graduate, 2Assistant Professor, 3Professor, Department of General Surgery, Bangalore Medical College & Research Institute, Bangalore 560034, Karnataka, India.

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.14323.1

Abstract

Introduction: Diabetic foot ulcer is one of the most common conditions encountered in surgical OPD. The incidence of a diabetic foot ulcer is around 15% among the diabetic population. Around 80% of non-traumatic amputation is due to chronic diabetic foot ulcer. Recent advances are made in treating wounds in which platelet-rich plasma (PRP) and platelet rich fibrin matrix (PRFM)
therapy have proven beneficial.

Materials and Methods: A prospective study was conducted from February 2021 to February 2023, for a period of 2 years which included 42 patients. Group A received autologous platelet rich plasma therapy (PRP) and group B received autologous platelet rich fibrin matrix therapy (PRFM) each consisting of 21 patients.

Results: PRFM Group showed better reduction in ulcer size compared to respective PRP Group, and demonstrated statistically significant p-values. Around 47% of the subjects had complete closure of the ulcer after 5 sessions of PRP dressing while it was 90% with PRFM dressing.


Conclusion: PRFM is better modality to treat diabetic foot ulcer when compared to PRP therapy


Keywords : Platelet rich fibrin matrix therapy, Platelet rich plasma therapy, Diabetic foot ulcer.
Corresponding Author : Ashwath Rao