Evaluation of Platelet Rich Plasma in Skin Graft Take for Patients With Post Burn Raw Areas

NCT ID: NCT05996614

Last Updated: 2023-08-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-01

Study Completion Date

2025-02-28

Brief Summary

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1. To evaluate the effect of the platelet rich plasma on the take of split thickness skin graft and its early and late results in resurfacing of post burn raw areas.
2. To evaluate the effect of PRP on wound healing on skin graft donor site.

Detailed Description

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Burn injuries involve tissue destruction due to energy transfer,The burn injuries can be caused by heat from hot liquids, solids or fire, an less common causes are friction, heat, chemical or electric sources The treatment of burns is complex due to the combination of hypermetabolic physiological response and the need for good functional and cosmetic recovery. Split thickness skin grafts (STSGs) are commonly used to resurface large areas of Post burn raw areas.

The time to complete wound healing ranged from 2 to 75 days. Factors that significantly affected time to complete wound healing were graft loss by seroma, presence of hypergranulation tissue, premorbid conditions, and total body surface area burned.

Generally, skin graft undertakes three steps for healing: anchorage, inosculation, and maturation. Haematoma, shearing, and infection on recipient sites of skin graft can reduce skin graft take, and even lead to skin graft loss.

Platelet-rich plasma (PRP) is an autologous blood-derived biomaterial that is enriched with a 2- to 6-fold concentration of platelets in comparison to normal human platelet concentration. Multiple growth factors and bioactive proteins are stored in α-granules of platelets. These growth factors can promote proliferation of endothelial cells, epithelial cells as well as fibroblasts, and increase angiogenesis. The potential clinical application of PRP in skin graft might rely on its haemostasis, adhesive, antibacterial and healing properties.

Conditions

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Skin Burn

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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group with PRP

Group of patients with post burn raw areas treated with application of platelet rich plasma

Group Type EXPERIMENTAL

PRP in skin grafts

Intervention Type PROCEDURE

topical application of platelet rich plasma before resurfacing with STSG in Post burn raw areas

group without PRP

Group of patients with post burn raw areas treated with conventional methods

Group Type EXPERIMENTAL

conventional methods in skin grafts

Intervention Type PROCEDURE

fixation of the graft with stitches and staplers

Interventions

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PRP in skin grafts

topical application of platelet rich plasma before resurfacing with STSG in Post burn raw areas

Intervention Type PROCEDURE

conventional methods in skin grafts

fixation of the graft with stitches and staplers

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Age (15- 60 years).
2. Post burn Raw area less than 10 % of total body surface area .
3. Selected donor sites.

Exclusion Criteria

1. Raw area due to other causes ( trauma, ischemia,..etc)
2. Patients with bleeding tendency.
3. Patients with comorbidities(diabetes, malignancy,..etc)
Minimum Eligible Age

15 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Ibrahim Ragab Ibrahim ali

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mostafa Elsonbaty, prof

Role: STUDY_CHAIR

Assiut University

Central Contacts

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Ibrahim Ragab Ibrahim, master

Role: CONTACT

00201060865454

References

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Garcia-Sanchez JM, Mirabet Lis V, Ruiz-Valls A, Perez-Plaza A, Sepulveda Sanchis P, Perez-Del-Caz MD. Platelet rich plasma and plasma rich in growth factors for split-thickness skin graft donor site treatment in the burn patient setting: A randomized clinical trial. Burns. 2022 Nov;48(7):1662-1670. doi: 10.1016/j.burns.2021.10.001. Epub 2021 Oct 22.

Reference Type RESULT
PMID: 34952738 (View on PubMed)

Other Identifiers

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PRP in skin grafts

Identifier Type: -

Identifier Source: org_study_id

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