Efficacy and Safety of Intralesional Platelet Rich Plasma (PRP) Therapy in the Management of Chronic Non-healing Leg Ulcers in our Population
Muhammad Aslam Javed, Sadaf Amin, Wishal Raza, Imran Yousuf, Khalid Javeed Khan
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ABSTRACT
Background: Autologous Platelets
Rich Plasma (PRP) therapy not only hastens chronic wounds and ulcers healing
but also diminishes the rate of amputations of lower leg caused by non-healing
recalcitrant ulcers. In this study we have demonstrated the magical results of
intralesional autologous PRP in the healing of resistant to heal chronic leg
ulcers.
Methods: In
this metacentric study 26 patients having 30 chronic leg ulcers of more than 6
weeks duration and various etiologies, were treated with intralesional
autologous PRP application on weekly basis for a duration of 8 weeks and the
final results were calculated by percentage improvement in the volume and area of
the ulcer/wound.
Results: In our study 26 patient with 30 chronic recalcitrant leg
ulcers/wounds were treated with intralesional autologous PRP therapy on weekly
basis. Mean age of the included patients was 34.5 years. 19 were male patients
and 7 were female. The mean time period of the healing of chronic ulcers was
5.3 weeks. The final mean percentage improvement outcome in the volume and area
of the ulcers was calculated as 86% and 88% respectively.
Conclusions: PRP therapy is safe, cost effective office based simple procedure
in treating recalcitrant chronic leg ulcer/wounds.
Keywords: Non-healing,
intralesional, autologous platelet rich plasma, chronic ulcers