Comparative study on Healing of Diabetic Plantar Foot Ulcers treated by Conventional Measures Alone Vs Conventional Measures along with Bohler Iron Plaster Cast

Premkumar, D (2019) Comparative study on Healing of Diabetic Plantar Foot Ulcers treated by Conventional Measures Alone Vs Conventional Measures along with Bohler Iron Plaster Cast. Masters thesis, Madurai Medical College, Madurai.

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Abstract

BACKGROUND AND OBJECTIVES: India, being diabetic capital of the world and the most common complication of diabetes mellitus is diabetic foot ulcer. The aim of the study is to compare the healing of diabetic plantar foot ulcers when treated with conventional measures alone vs conventional measures along with bohler iron plaster cast. Bohler iron plaster cast provides complete offloading of foot thus causing dispersion of pressure points away from ulcer site. METHODS: A prospective comparative study for a duration of 1 year from 2017 – 2018 was undertaken in patients with diabetic plantar foot ulcers in Government Rajaji Hospital, Madurai. A total of 60 patients were recruited for the study based on the eligibility criteria and after obtaining informed written consent. Relevant data regarding history, clinical examination, investigations were collected and properly recorded. The patients would be divided into Group A and Group B. The former (Group A) treated with conventional measures alone and the latter (Group B) treated with conventional measures along with bohler iron plaster cast. The patients were followed up for 1 month and healing of ulcer is assessed by means of Pressure Ulcer Scale for Healing (PUSH) scores before and after intervention in each group. RESULTS: Out of the 60 patients , none of the patients developed any new ulcers .There was a good ulcer healing evidenced by significant reduction in the mean Pressure Ulcer Scale for Healing score after 1 month of intervention. There is a statistical difference as the mean of pre-PUSH scores of 10.27 is greater than Post-PUSH score 7.60 in the group A and the mean of Pre-PUSH scores 8.65 is greater than post PUSH score 5.93 in the group B. CONCLUSION: On analysis ,it is found that there is significant decrease in ulcer size ,exudate amount and change in type of tissue when treated with conventional measures along with bohler iron plaster cast. Thus by using appropriate offloading device which enables pressure dispersion from the ulcer site promotes better wound healing of diabetic plantar foot ulcers thereby preventing major complications which results in morbidity and mortality in most diabetic patients.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Pressure Ulcer Scale for Healing (PUSH) scores, size of ulcer, amount of exudate, tissue type, Bohler iron plaster cast, conventional dressings.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 03 Sep 2019 23:32
Last Modified: 06 Sep 2019 07:50
URI: http://repository-tnmgrmu.ac.in/id/eprint/11435

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