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Document Type

Original Article

Abstract

Background: Between 5 and 10% of diabetics experience DFUs. It is a leading cause of lower extremity amputation. The medical community is paying close attention to DFUs (diabetic foot ulcers) which are a prevalent type of chronic or non-healing wound.

The aim of the work: is to assess the effectiveness of various management strategies for pathological diabetic foot lesions including conventional dressing, silver based and negative pressure wound therapy. Additionally, to compare clinical effectiveness of traditional versus commercialized modern wound dressing in a variety of pathological diabetic foot wound and their influence on its healing and clinical outcome.

Patients and Methods: This prospective randomized clinical trial involved 60 patients who had either acute or chronic pathological diabetic foot wounds having surgical debridement for a diabetic foot infection, or needed a small conservative foot amputation.

Results: As regard outcome, Silver-based dressing had best outcome with all cases had Primary healing of ulcer, A. Conventional dressing using povidone iodine group had 50% primary healing of ulcers, 40% had recurrent ulcers, 5% had Below knee amputation, 5% had Disarticulation of toes, in A. Following negative pressure wound therapy (NPWT), 55% of patients experienced primary ulcer healing, 25% had toe disarticulation, and 10% had unhealed ulcers, 5% had recurrent ulcer, 5% had below knee amputation

Conclusion: silver-releasing dressings significantly affect the development and acceleration of granulation tissue. We suggest that silver-releasing dressings are more appropriate for deep, full thickness wounds because they encourage the early closure of wounds and guarantee a better result.

Keywords

diabetic; dressing; wound

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