For people with venous leg ulcers, what are the effects of compression bandages?

2021 ◽  
Author(s):  
Jane Burch ◽  
Carolina D Weller
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandages

Impact of multilayered compression bandages on sub-bandage interface pressure: a model

2011 ◽  
Vol 26 (2) ◽  
pp. 75-83 ◽  
Author(s):  
J Al Khaburi ◽  
E A Nelson ◽  
J Hutchinson ◽  
A A Dehghani-Sanij
Keyword(s):  
Mathematical Model ◽  
Thick Wall ◽  
Compression Bandage ◽  
Leg Ulcers ◽  
Interface Pressure ◽  
Venous Leg Ulcers ◽  
Compression Bandages ◽  
Thick Cylinder ◽  
The Difference ◽  
Interface Pressures

Background Multi-component medical compression bandages are widely used to treat venous leg ulcers. The sub-bandage interface pressures induced by individual components of the multi-component compression bandage systems are not always simply additive. Current models to explain compression bandage performance do not take account of the increase in leg circumference when each bandage is applied, and this may account for the difference between predicted and actual pressures. Objective To calculate the interface pressure when a multi-component compression bandage system is applied to a leg. Method Use thick wall cylinder theory to estimate the sub-bandage pressure over the leg when a multi-component compression bandage is applied to a leg. Results A mathematical model was developed based on thick cylinder theory to include bandage thickness in the calculation of the interface pressure in multi-component compression systems. In multi-component compression systems, the interface pressure corresponds to the sum of the pressures applied by individual bandage layers. However, the change in the limb diameter caused by additional bandage layers should be considered in the calculation. Adding the interface pressure produced by single components without considering the bandage thickness will result in an overestimate of the overall interface pressure produced by the multi-component compression systems. At the ankle (circumference 25 cm) this error can be 19.2% or even more in the case of four components bandaging systems. Conclusion Bandage thickness should be considered when calculating the pressure applied using multi-component compression systems.

scholarly journals Compression bandages or stockings versus no compression for treating venous leg ulcers

2019 ◽  
Author(s):  
Chunhu Shi ◽  
Jo C Dumville ◽  
Nicky Cullum
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandages

Venous Leg Ulcer Healing: A Randomized Prospective Study of Long-Stretch versus Short-Stretch Compression Bandages

1998 ◽  
Vol 13 (2) ◽  
pp. 59-63 ◽  
Author(s):  
L. Danielsen ◽  
S. M. Madsen ◽  
L. Henriksen
Keyword(s):  
Ulcer Healing ◽  
Venous Ulcer ◽  
Positive Influence ◽  
Compression Bandage ◽  
Leg Ulcers ◽  
Venous Leg Ulcer ◽  
Venous Leg Ulcers ◽  
Area Reduction ◽  
Compression Bandages ◽  
Table Analysis

Objective: To compare the efficacy of a long-stretch bandage with that of a short-stretch compression bandage. Design: Prospective evaluation of healing of venous leg ulcers in blindly randomized groups of patients. Setting: Bispebjerg Hospital, Copenhagen, Denmark. Patients: Forty-three patients with venous leg ulcers were included. Forty legs in 40 patients were evaluated at 1 month (34 patients), 6 months (32 patients) or 12 months (27 patients). Interventions: Both types of bandage were used at a width of 10 cm and applied using the same spiral bandaging technique. Main outcome measures: Ulcer healing and ulcer area reduction. Results: Healed ulcers after 1 month were observed in 27% of the long-stretch group and in 5% of the short-stretch group ( p = 0.15); after 6 months the corresponding figures were 50% and 36% ( p = 0.49) and after 12 months 71% and 30% ( p = 0.06). Using life-table analysis the predicted healing rate in the long-stretch group after 12 months was 81% and for the short-stretch group 31% ( p = 0.03). The mean of relative ulcer areas at 1 month was 0.45 for the long-stretch group and 0.72 for the short-stretch group ( p = 0.07), at 6 months the corresponding figures were 0.81 and 0.60 ( p = 0.25) and at 12 months 0.25 and 0.95 ( p = 0.01). Conclusions: The present study appears to indicate a Positive influence of the elasticity of a compression bandage on venous ulcer healing.

INTERMITTENT PUMP VERSUS COMPRESSION BANDAGES IN THE TREATMENT OF VENOUS LEG ULCERS

2000 ◽  
Vol 70 (2) ◽  
pp. 110-113 ◽  
Author(s):  
Jeffrey Rowland
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandages

Which venous leg ulcers will heal with limb compression bandages?

2000 ◽  
Vol 109 (1) ◽  
pp. 15-19 ◽  
Author(s):  
David J Margolis ◽  
Jesse A Berlin ◽  
Brian L Strom
Keyword(s):  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandages ◽  
Limb Compression

Compression for the management of venous leg ulcers: which material do we have?

2014 ◽  
Vol 29 (1_suppl) ◽  
pp. 140-145 ◽  
Author(s):  
Hugo Partsch
Keyword(s):  
Time Pressure ◽  
Wide Spectrum ◽  
Compression Therapy ◽  
Venous Hypertension ◽  
Leg Ulcers ◽  
Interface Pressure ◽  
Compression Stockings ◽  
Venous Leg Ulcers ◽  
Compression Bandages ◽  
Hybrid Devices

Compression therapy is the most important basic treatment modality in venous leg ulcers. The review focusses on the materials which are used: 1. Compression bandages, 2. Compression stockings, 3. Self-adjustable Velcro-devices, 4. Compression pumps, 5. Hybrid devices. Compression bandages, usually applied by trained staff, provide a wide spectrum of materials with different elastic properties. To make bandaging easier, safer and more effective, most modern bandages combine different material components. Self-management of venous ulcers has become feasible by introducing double compression stockings (“ulcer kits”) and self-adjustable Velcro devices. Compression pumps can be used as adjunctive measures, especially for patients with restricted mobility. The combination of sustained and intermittent compression (“hybrid device”) is a promising new tool. The interface pressure corresponding to the dosage of compression therapy determines the hemodynamic efficacy of each device. In order to reduce ambulatory venous hypertension compression pressures of more than 50 mm Hg in the upright position are desirable. At the same time pressure should be lower in the resting position in order to be tolerated. This prerequisite may be fulfilled by using inelastic, short stretch material including multicomponent bandages and cohesive surfaces, all characterized by high stiffness. Such materials do not give way when calf muscles contract during walking which leads to high peaks of interface pressure (“massaging effect”).

Randomized clinical trial of four-layer and short-stretch compression bandages for venous leg ulcers(VenUS I)

2004 ◽  
Vol 91 (10) ◽  
pp. 1292-1299 ◽  
Author(s):  
E. A. Nelson ◽  
C. P. Iglesias ◽  
N. Cullum ◽  
D. J. Torgerson ◽  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Leg Ulcers ◽  
Venous Leg Ulcers ◽  
Compression Bandages

Testing Compression Bandages

1988 ◽  
Vol 3 (1) ◽  
pp. 55-61 ◽  
Author(s):  
W.G. Tennant ◽  
K.G.M. Park ◽  
C.V. Ruckley
Keyword(s):  
Standard Technique ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Leg Ulcers ◽  
Pressure Measurements ◽  
Venous Leg Ulcers ◽  
Compression Bandaging ◽  
Compression Bandages ◽  
Blue Line ◽  
The Uk

Compression bandaging is the mainstay of the treatment of chronic venous leg ulcers. Using the Borgnis Medical Stocking Tester, six bandages in common use; (Blue Line, J-Press, Medirip, Elastocrepe, Crepe, and Elastoplast), were studied for the pressures attained, and the ability to sustain pressure. Each bandage was applied 10 times by one of two observers using a standard technique. Pressure measurements were taken hourly for 4h. The pressure exerted by Crepe fell by 63%, and that exerted by Elastoplast fell by 40% over the 4-h test period. Medirip and Blue Line gave the best sustained support. Bandages available on the UK drug tariff are in the main unsatisfactory for the treatment of chronic venous disease.

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