Most Easy on the Pocket Offloading Device Costing <1$ for Rural Diabetic Foot Ulcers

Research Article

Vijay P Agrawal and P N Sre

Abstract

Objectives: The aim of our study is to compare mandakini offloading device suitable for low socio-economic rural population with conventional dressing in the treatment of diabetic foot plantar ulcers. Methods: From December 2010 to June 2012, 80 patients with diabetic plantar neuropathic ulcer were randomised to Mandakini offloading device (n=40) or Conventional dressing (n=40). Results: No significant differences between the two groups with respect to baseline ulcer size (4.52 vs 4.67 cms). The Number of patients with no necrotic tissue is significantly higher in Test group at 6th week follow up (32 vs 8). The number of patients with 75-100% wound filled by granulation tissue is significantly higher in test group at 6th week follow up (32 vs 8). The number of patients with no wound surface (Healed ulcer) is significantly higher in test group at 6th week follow up (32 vs 10). P value less than 0.001 was the level of significance. Conclusion: Mandakini offloading device is economical, effective and feasible for rural population.

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