Vijay P Agrawal and P N Sreeramulu
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.
