Evaluation of Vitamin D Receptor Haplotypes on Modulation of Blood Lead Levels in Occupationally Exposed Workers from North India: A Cross-sectional Study
Exploratory Research and Hypothesis in Medicine
and objectives: Diabetic foot ulcers (DFUs) are a significant source of morbidity, and pose great financial burden to the health service. Conventional treatments with dressings are often ineffective. Platelet-rich products have been used in recent years for the treatment of DFUs, with promising results. The present study aims to evaluate the efficacy of plasma rich in growth factors (PRGF) membrane therapy in the treatment of chronic non-healing DFUs, in order to improve wound healing and
... rate the epithelisation of chronic wounds. Methods: A total of six diabetic patients with chronic non-healing foot ulcers were included in the present study. The Endoret procedure was used to isolate the PRGF from blood samples, resulting in the formation of a membrane clot, which was placed over the bed of the ulcer. A portion of the PRGF was also allowed to infiltrate around the ulcer edge. Patients were followed up in clinic at two weekly intervals, until full healing was achieved. Results: All six patients (mean age: 60 years old) underwent successful treatment with the PGRF membrane. Full epithelisation of the ulcers was achieved for all patients, with a mean duration of eight weeks. No complications were noted throughout the treatment period. Conclusions: The use of an autologous PRGF membrane is a secure and efficacious surgical treatment for chronic non-healing DFUs. The present study demonstrates that the PRGF fibrin membrane can be used to optimize surface regeneration in DFUs. Additional data and randomized studies are required to establish the effectiveness of this method in treating DFUs.