To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcer

Background: Chronic non-healing ulcers (NHUs) are often associated with some underlying pathology which prevents timely healing thus increasing the patients morbidity and healthcare expenses. Autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting also known as Jodhpur technique...

Full description

Bibliographic Details
Main Authors: Shreyansh Bhansali, Dilip Kachhawa, Pankaj Rao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Cutaneous and Aesthetic Surgery
Subjects:
Online Access:http://www.jcasonline.com/article.asp?issn=0974-2077;year=2022;volume=15;issue=1;spage=17;epage=23;aulast=Bhansali
_version_ 1811240223989825536
author Shreyansh Bhansali
Dilip Kachhawa
Pankaj Rao
author_facet Shreyansh Bhansali
Dilip Kachhawa
Pankaj Rao
author_sort Shreyansh Bhansali
collection DOAJ
description Background: Chronic non-healing ulcers (NHUs) are often associated with some underlying pathology which prevents timely healing thus increasing the patients morbidity and healthcare expenses. Autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting also known as Jodhpur technique (JT), an epidermal graft and autologous platelet-rich fibrin matrix (PRFM) are newer modalities with promising results. Aims: To compare the efficacy and safety of JT and autologous PRFM in the treatment of chronic NHU. Design: A prospective hospital based interventional study conducted on 50 patients of chronic NHU attending the dermatology outdoor of a tertiary level government hospital. Materials and Methods: After taking clearance from the institutional ethical committee, the patients were enrolled into 2 groups of 25 each. JT was done on group A and autologous PRFM on group B and their efficacy and safety compared. Statistical Analysis: Chi square test was used to analyze categorical variables summarized as number and percentage while continuous variables were analyzed using student t-test for intergroup comparison. Results: In Group A, the mean time to ulcer healing was 6.17 ± 2.17 weeks while 6.43 ± 2.33 weeks in Group B. No side effects were found in either group. Conclusion: Both the techniques fair equally in terms of wound healing time and safety but required multiple sittings in group B and a single session in group A.
first_indexed 2024-04-12T13:16:34Z
format Article
id doaj.art-678a38b3abc0432ba652260893643792
institution Directory Open Access Journal
issn 0974-2077
language English
last_indexed 2024-04-12T13:16:34Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Cutaneous and Aesthetic Surgery
spelling doaj.art-678a38b3abc0432ba6522608936437922022-12-22T03:31:41ZengWolters Kluwer Medknow PublicationsJournal of Cutaneous and Aesthetic Surgery0974-20772022-01-01151172310.4103/JCAS.JCAS_196_20To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcerShreyansh BhansaliDilip KachhawaPankaj RaoBackground: Chronic non-healing ulcers (NHUs) are often associated with some underlying pathology which prevents timely healing thus increasing the patients morbidity and healthcare expenses. Autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting also known as Jodhpur technique (JT), an epidermal graft and autologous platelet-rich fibrin matrix (PRFM) are newer modalities with promising results. Aims: To compare the efficacy and safety of JT and autologous PRFM in the treatment of chronic NHU. Design: A prospective hospital based interventional study conducted on 50 patients of chronic NHU attending the dermatology outdoor of a tertiary level government hospital. Materials and Methods: After taking clearance from the institutional ethical committee, the patients were enrolled into 2 groups of 25 each. JT was done on group A and autologous PRFM on group B and their efficacy and safety compared. Statistical Analysis: Chi square test was used to analyze categorical variables summarized as number and percentage while continuous variables were analyzed using student t-test for intergroup comparison. Results: In Group A, the mean time to ulcer healing was 6.17 ± 2.17 weeks while 6.43 ± 2.33 weeks in Group B. No side effects were found in either group. Conclusion: Both the techniques fair equally in terms of wound healing time and safety but required multiple sittings in group B and a single session in group A.http://www.jcasonline.com/article.asp?issn=0974-2077;year=2022;volume=15;issue=1;spage=17;epage=23;aulast=Bhansaliautologous non-cultured non-trypsinized keratinocyte and melanocyte graftingautologous platelet-rich fibrin matrixjodhpur techniquenon-healing ulcer
spellingShingle Shreyansh Bhansali
Dilip Kachhawa
Pankaj Rao
To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcer
Journal of Cutaneous and Aesthetic Surgery
autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting
autologous platelet-rich fibrin matrix
jodhpur technique
non-healing ulcer
title To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcer
title_full To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcer
title_fullStr To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcer
title_full_unstemmed To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcer
title_short To compare the efficacy and safety of autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting (Jodhpur technique) with autologous platelet-rich fibrin matrix (PRFM) in the treatment of chronic non-healing ulcer
title_sort to compare the efficacy and safety of autologous non cultured non trypsinized keratinocyte and melanocyte grafting jodhpur technique with autologous platelet rich fibrin matrix prfm in the treatment of chronic non healing ulcer
topic autologous non-cultured non-trypsinized keratinocyte and melanocyte grafting
autologous platelet-rich fibrin matrix
jodhpur technique
non-healing ulcer
url http://www.jcasonline.com/article.asp?issn=0974-2077;year=2022;volume=15;issue=1;spage=17;epage=23;aulast=Bhansali
work_keys_str_mv AT shreyanshbhansali tocomparetheefficacyandsafetyofautologousnonculturednontrypsinizedkeratinocyteandmelanocytegraftingjodhpurtechniquewithautologousplateletrichfibrinmatrixprfminthetreatmentofchronicnonhealingulcer
AT dilipkachhawa tocomparetheefficacyandsafetyofautologousnonculturednontrypsinizedkeratinocyteandmelanocytegraftingjodhpurtechniquewithautologousplateletrichfibrinmatrixprfminthetreatmentofchronicnonhealingulcer
AT pankajrao tocomparetheefficacyandsafetyofautologousnonculturednontrypsinizedkeratinocyteandmelanocytegraftingjodhpurtechniquewithautologousplateletrichfibrinmatrixprfminthetreatmentofchronicnonhealingulcer