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L-PRF in extra-oral wound care
Nelson Pinto1,2,3, Jize Yu4,5, Sushil Koirala6
1Center of Translational Medicine, Faculty of Medicine, Universidad de la Frontera, Temuco, Chile.
Periodontology 2000
|September 21, 2024
Summary
Leukocyte- and platelet-rich fibrin (L-PRF) membranes accelerate healing in chronic wounds like diabetic foot and venous ulcers. This regenerative biomaterial offers a barrier function and growth factor release, improving patient outcomes and reducing pain.
Area of Science:
- Regenerative Medicine
- Biomaterials Science
- Wound Healing Research
Background:
- Chronic wounds pose a significant global health burden, impacting patient quality of life and healthcare costs.
- Leukocyte- and platelet-rich fibrin (L-PRF) is an autologous biomaterial derived from centrifuged blood.
- L-PRF membranes exhibit properties beneficial for tissue repair, including barrier function, antimicrobial activity, and growth factor release.
Purpose of the Study:
- To review the efficacy of L-PRF in managing non-responding chronic wounds.
- To evaluate L-PRF's role in treating various challenging wound types.
- To provide clinical recommendations for L-PRF application in extra-oral wound treatment.
Main Methods:
- Systematic review of existing literature on L-PRF for chronic wound treatment.
- Analysis of studies focusing on diabetic foot ulcers, venous leg ulcers, pressure ulcers, and other complex wounds.
- Inclusion of data on L-PRF's impact on healing time and patient-reported outcomes.
Main Results:
- L-PRF demonstrates significant adjunctive benefits in accelerating the closure of chronic skin wounds.
- Treatment with L-PRF improves patient-reported outcomes, including pain reduction and decreased analgesic use.
- L-PRF facilitates healing in various demanding wound types, supporting tissue regeneration and neovascularization.
Conclusions:
- L-PRF is an effective adjunctive therapy for non-responding chronic wounds, enhancing healing and patient well-being.
- The regenerative properties of L-PRF make it a valuable tool for clinicians treating complex and chronic wounds.
- Recommendations are provided for the clinical application of L-PRF in extra-oral wound management.

