Objective: to analyze the process of tissue repair in patients with venous ulcers using
inelastic compression therapy (the Unna Boot), in comparison with the use of the
elastic bandage. Method: a controlled randomized clinical trial in which the patients (n=18) were
allocated to two groups, those who used the Unna Boot (group B) and those who used
the elastic bandage (group A). The study's follow-up period was 13 weeks.Results: a significant reduction took place, at the level of 5%, in the area, in square
centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and
there was a tendency of group A for reduction in the area of the ulcer, in
centimeters squared (p=0.06), only after the fifth week. Conclusion: the treatment with the Unna Boot presented better results in venous ulcers with
areas over 10cm², and the elastic bandage with Petrolatum(r) gauze in venous
ulcers below 10cm². Brazilian Clinical Trials Register: Trial (req: 195) and WHO
UTN U1111-1122-5489.
Objective: To assess the healing process of a patient with a venous ulcer in a lower limb subject to treatment with an Unna boot. Method: This case study was conducted in the Outpatient Wound Care service of a public hospital in Niterói, RJ, Brazil between July and September, 2011. A protocol addressing clinical data was used to assess the wound's healing process, together with measurement of the lesion area and photographic recording. The study was approved by the hospital's Institutional Review Board (Protocol No. 327\10). Results: the wound healed after 12 weeks of follow-up and the patient reported reduced pain and edema in his legs. Conclusion: The treatment with an Unna boot was effective in healing the venous ulcer when associated with systematized outpatient follow-up.
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