The Clinical Management and Outcome of Venous Ulcers in Legswith Deep-venous Obstruction

Abstract

a protocol of incremental compression bandaging is safe in ulcerated legs with deep-vein obstruction and produces healing in up to 55% of cases.

The diagnosis and management of 689 chronic leg ulcers in a single-visit assessment clinic

“…Incremental layered compression bandaging in this group of patients has been shown to avoid complications such a tissue necrosis while achieving ulcer healing rates of 55%. 14 Mixed arterio-venous disease has been shown to be responsible for almost 20% of ulcerated limbs 7,15 and there was little difference in the present series where the incidence was approximately 15%. While the optimal management of mixed arterio-venous ulceration is not clearly defined, it is evident that arterial revascularisation is not necessary to achieve ulcer healing in the majority of patients.…”