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An Innovative Treatment Using sterile Hyaluronic Acid Injections to Reduce Foot Ulcer Recurrence in Patients with
Catherine Hughes1,2, Nikolaos Papanas3, Cynthia Formosa4
1Curacorn Ltd, Ashton in Makerfield, Greater Manchester, UK.
The International Journal of Lower Extremity Wounds
|March 27, 2026
Summary
Hyaluronic acid injections may prevent diabetic foot ulcer recurrence. This pilot study found 50% of patients remained ulcer-free for 6-12 months after treatment, especially with higher gel volumes.
Area of Science:
- Podiatry
- Diabetology
- Regenerative Medicine
Background:
- Diabetic foot ulcers pose a significant risk for recurrence and complications.
- Preventive strategies are crucial for high-risk diabetic patients.
Purpose of the Study:
- To assess the efficacy of plantar hyaluronic acid injections using the Curacorn® technique in preventing diabetic foot ulcer recurrence.
- To evaluate the safety and effectiveness of this minimally invasive approach.
Main Methods:
- Pilot study involving 14 patients with type 2 diabetes and a history of healed plantar foot ulcers.
- Patients received 3-4 treatment sessions of cross-linked hyaluronic acid gel injections.
- Follow-up period of 6-12 months to monitor ulcer recurrence.
Main Results:
- 50% of patients (7 out of 14) experienced no ulcer recurrence during the follow-up.
- Patients without recurrence received a significantly higher total volume of hyaluronic acid (mean 7.4 ml vs 3.9 ml).
- Recurrence in other patients occurred around six months post-treatment.
Conclusions:
- Plantar hyaluronic acid injection via the Curacorn® technique shows promise in reducing diabetic foot ulcer recurrence.
- Adequate administration of hyaluronic acid gel volume appears critical for efficacy.
- Further research is warranted to confirm these findings and optimize treatment protocols.
