Leg ulcers - causes and management

Abstract

Background: A leg ulcer is not a disease but the manifestation of an underlying problem that requires a clear diagnosis.

Objective: This article outlines the assessment and management of patients with leg ulceration.

Discussion: The simple tag of 'leg ulcer' is not an adequate diagnosis. A comprehensive assessment of the patient, skin, vascular status, limb, and ulcer is required to determine the aetiology and to formulate an appropriate management plan. Most leg ulcers are caused by venous insufficiency and compression is required to successfully heal venous leg ulcers. Treatment must address oedema, infection and pressure. Managing peripheral oedema using compression bandages is often more important than the topical dressings. Success requires consistent adherence to a care plan designed to address the underlying pathology and contributing factors.