Diabetic Wound
Conditions
Keywords
Diabetic Foot Ulcer, Wagner Grade II, Wound Healing, Platelet-Derived Growth Factor, EUSOL
Brief summary
Diabetic foot ulcers are a major cause of morbidity and amputation. This randomized controlled trial will compare the efficacy of a traditional antiseptic dressing (EUSOL) with a modern biologic dressing containing Platelet-Derived Growth Factor (PDGF) in promoting wound contraction. The study aims to determine if PDGF dressing leads to better healing outcomes in patients with Grade II Wagner diabetic foot ulcers.
Interventions
Daily dressing with freshly prepared Edinburgh University Solution of Lime (EUSOL) applied to the ulcer after standard debridement and cleansing.
PDGF-based topical preparation applied to the ulcer surface every fourth day, covered by a secondary dressing. Interim dressing changes used normal saline only.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of diabetes mellitus. * Presence of a Grade II Wagner diabetic foot ulcer (penetrating to subcutaneous tissue, without involvement of tendon, bone, or joint). * Ulcer size less than 6 x 6 cm at baseline.
Exclusion criteria
* Uncontrolled diabetes * Malnourished (BMI less than 20) * HB less than 10 * ABPI less than 0.9 * Immunosuppression therapy * Patients with malignancy or uncontrolled cardiopulmonary, neurological, or psychiatric disease. * Severe active infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients achieving wound contraction. | 4 weeks | Wound healing will be defined as the achievement of at least a 50% reduction in ulcer area from baseline after four weeks of treatment. Ulcer area will be calculated as maximum length multiplied by maximum width. |
Countries
Pakistan
Contacts
Services Institute of Medical Sciences