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Review
. 2004 Jun 5;328(7452):1358-62.
doi: 10.1136/bmj.328.7452.1358.

Management of venous leg ulcers

Deborah A Simon  1 , Francis P Dix, Charles N McCollum
Affiliations
Review

Management of venous leg ulcers

Deborah A Simon et al. BMJ. .
No abstract available

PubMed Disclaimer

Figures

Fig 1
Fig 1
This superficial leg ulcer, in the classic position above the medial malleolus, has healthy granulation tissue after two weeks of compression treatment. The features of lipodermatosclerosis with pigmentation can be seen at the upper margin
Fig 2
Fig 2
The combination of compression bandages used to achieve compression of 40 mm Hg at the ankle will depend on ankle circumference according to Laplace's law. A combination of bandages achieving ideal pressures in the average ankle will produce ineffective pressures in a large oedematous limb and dangerously high pressures risking skin necrosis over bony high points in small or narrow ankles
Fig 3
Fig 3
Pinch skin grafts applied two weeks previously are growing halos of new epithelium that are beginning to merge (top). Only one week later, perhaps as a result of growth factors from healing epithelium, almost complete healing has been achieved (bottom)
Fig 3
Fig 3
Pinch skin grafts applied two weeks previously are growing halos of new epithelium that are beginning to merge (top). Only one week later, perhaps as a result of growth factors from healing epithelium, almost complete healing has been achieved (bottom)
See this image and copyright information in PMC

References

    1. Moffatt CJ, Franks PJ, Oldroyd MI, Bosanquet N, Brown P, Greenhalgh RM, et al. Community clinics for leg ulcers and impact on healing. BMJ 1992;305: 1389-92. - PMC - PubMed
    1. Simon DA, Freak L, Kinsella A, Walsh J, Lane C, Groarke L, et al. Community leg ulcer clinics: a comparative study in two health authorities. BMJ 1996;312: 1648-51. - PMC - PubMed
    1. Ruckley CV. Socio-economic impact of chronic venous insufficiency and leg ulcers. Angiology 1997;48: 67-9. - PubMed
    1. Lees TA, Lambert D. Prevalence of lower limb ulceration in an urban health district. Br J Surg 1992;79: 1032-4. - PubMed
    1. Ellison DA, Hayes L, Lane C, Tracey A, McCollum CN. Evaluating the cost and efficacy of leg ulcer care provided in two large UK health authorities. J Wound Care 2002;11: 47-51. - PubMed

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