Comparison of autologous platelet rich plasma dressing versus normal saline dressing in the management of heel pad injuries due to motorcycle wheel spoke.

Abstract

Objective: To compare the outcome of autologous platelet rich plasma dressing with normal saline dressing in the management of heel pad injuries due to motorcycle wheel spoke. Study Design: Randomized Controlled Trial. Setting: Department of Pediatrics Surgery, Services Hospital, Lahore. Period: April 2024 to April 2025. Methods: After meeting selection criteria, 60 (30 in each group) patients were enrolled and randomly allocated in two groups using computer generated table. In group A, platelet rich plasma was applied. In group B, normal saline dressing was applied. After 12^th week outcomes in terms of reduction in horizontal and longitudinal wound dimensions, complete healing and duration of healing were noted. Results: In PRP group, the reduction in longitudinal size was 77.11%±23.89 and in normal saline group, was 51.47%±21.70 (p-value=<0.001). In PRP group, the reduction in horizontal size was 74.05%±21.51 and in normal saline group, was 48.39%±21.37 (p-value=<0.001). In PRP group, the mean duration of healing was 15.87±5.42 days and in normal saline group, was 18.83±7.19 days (p-value=0.076). In PRP group, complete healing was found in 13(43.3%) patients and in normal saline group, it was found in 2(6.7%) patients (p-value=0.001). Conclusion: Autologous platelet rich plasma dressing showed better outcome as compared to normal saline dressing in the management of heel pad injuries due to motorcycle wheel spoke in terms of complete healing, duration of healing and reduction in wound size.