Chronic non healing ulcer (NHU), especially over the legs pose a management conundrum to the doctor. Etiology of NHU over the legs is predominated by diabetes, leprosy, venous stasis, arterial insufficiency, decubitus ulcer, vasculitis and certain infections. The ulcer may not heal for a long time despite the diagnosis and treatment of the underlying disease. The problem becomes compounded in idiopathic NHU of the legs. Various approaches, including skin grafting have been used with variable results. We describe for the first time, the use of the Jodhpur Technique, our innovation synonymous with autologous non-cultured non-trypsinised keratinocyte and melanocyte grafting to attempt healing of a chronic NHU over the lower leg of a 52-year old man with treated leprosy. The patient’s persistent and treatment-refractory NHU of 3 years duration healed completely within 5-6 weeks of the procedure. No adverse effects were observed. We propose the use of JT as an extremely low cost and simple procedure to induce healing of chronic NHU, especially on the leg.

Keywords: Jodhpur technique Non-healing ulcer Diabetes Leprosy Venous stasis Vasculitis Skin grafting Autologous non-cultured non-trypsinised keratinocyte and melanocyte grafting.