Fat Grafting and Platelet-Rich Plasma for the Treatment of Diabetic Foot Ulcers: A Feasibility Randomized Controlled Trial

    July 2020 in “ International Wound Journal
    Oliver J. Smith, Richard Leigh, Muholan Kanapathy, Peter Macneal, Gavin Jell, Nadine Hachach‐Haram, H. A. MANN, Afshin Mosahebi
    TLDR Fat grafting and PRP are safe for diabetic foot ulcers, but no significant healing differences were found.
    This study assessed the feasibility of a randomized controlled trial (RCT) to evaluate fat grafting and platelet-rich plasma (PRP) for treating diabetic foot ulcers (DFU). Conducted as a single-center, three-arm trial, 18 patients were enrolled and divided equally among control, fat grafting, and fat grafting with PRP groups. Over 12 weeks, 28% of wounds healed, but no significant differences in clinical outcomes were observed between groups. The study confirmed the feasibility and safety of a multi-center RCT, with high patient engagement and no serious adverse events, providing valuable insights for future trial designs.
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