Description of venous leg ulcer healing mechanism

Compression bandaging remains the ‘gold standard’ intervention for the treatment of venous leg ulcers. Numerous studies have investigated the effect of a large variety of compression bandaging techniques and materials on venous leg ulcer healing. However, the majority of these studies failed to monitor both actual bandage application pressures and the bandaging competency of participating clinicians. A series of literature searches to explore the methods, practices, recommendations and results of monitoring compression bandaging pressures in leg ulcer research trials were undertaken. This included investigating the reliability and validity of sub-bandage pressure monitors and the degree to which compression bandaging achieves the recommended sub-bandage pressure. The literature revealed inconsistencies regarding the monitoring of sub-bandage pressure and in sub-bandage pressures produced by clinicians. This creates difficulties when comparing study outcomes and attempting to develop evidence-based practice recommendations.

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The experience of self-management following venous leg ulcer healing

Journal of Clinical Nursing ◽

10.1111/jocn.12730 ◽

2014 ◽

Vol 24 (9-10) ◽

pp. 1300-1309 ◽

Cited By ~ 18

Author(s):

Suzanne Kapp ◽

Charne Miller

Keyword(s):

Ulcer Healing ◽

Leg Ulcer ◽

Self Management ◽

Venous Leg Ulcer

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A single-arm trial indirect comparison investigation: a proof-of-concept method to predict venous leg ulcer healing time for a new acellular synthetic matrix matched to standard care control

International Wound Journal ◽

10.1111/iwj.12687 ◽

2016 ◽

Vol 14 (4) ◽

pp. 729-741 ◽

Cited By ~ 3

Author(s):

Ronald Shannon ◽

Andrea Nelson

Keyword(s):

Ulcer Healing ◽

Standard Care ◽

Indirect Comparison ◽

Healing Time ◽

Leg Ulcer ◽

Proof Of Concept ◽

Venous Leg Ulcer ◽

Synthetic Matrix

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Factors influencing concordance with compression stockings after venous leg ulcer healing

Journal of Wound Care ◽

10.12968/jowc.2004.13.3.26590 ◽

2004 ◽

Vol 13 (3) ◽

pp. 90-92 ◽

Cited By ~ 52

Author(s):

A.B. Jull ◽

N. Mitchell ◽

J. Aroll ◽

M. Jones ◽

J. Waters ◽

...

Keyword(s):

Ulcer Healing ◽

Leg Ulcer ◽

Compression Stockings ◽

Venous Leg Ulcer ◽

Factors Influencing

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Ankle Motility is a Risk Factor for Healing of Chronic Venous Leg Ulcers

Phlebology The Journal of Venous Disease ◽

10.1177/026835550101600110 ◽

2001 ◽

Vol 16 (1) ◽

pp. 38-40 ◽

Cited By ~ 13

Author(s):

J. R. Barwell ◽

M. Taylor ◽

J. Deacon ◽

C. Davies ◽

M. R. Whyman ◽

...

Keyword(s):

Risk Factor ◽

Pump Power ◽

Ulcer Healing ◽

Independent Risk Factor ◽

Healing Rate ◽

Leg Ulcer ◽

Venous Leg Ulcer ◽

Compression Bandaging ◽

Venous Ulcers ◽

Ulcer Healing Rate

Objective: To investigate the effect of ankle motility on chronic venous leg ulcer healing, and to relate this to calf pump function and muscle bulk. Methods: This was a prospective cohort study undertaken in a leg ulcer clinic. Ankle motility, calf-ankle circumference ratio and calf pump power (derived from digital photoplethysmography) were assessed as to their effect on ulcer healing rate. Thirty consecutive patients undergoing multi-layer compression bandaging for open chronic venous ulcers were included. Results: Ankle motility was an independent risk factor for ulcer healing ( p = 0.001, hazard ratio 1.08, 95% CI 1.03–1.13). Ankle motility correlated with calf-ankle circumference ratio ( r = 0.48, p<0.01). No relationship was found between photoplethysmography-derived calf pump power, ankle motility or ulcer healing rate. Conclusions Ulcers in legs with poor ankle motility are slower to heal and this may be related to reduced calf muscle bulk. Ankle exercises or physiotherapy could be considered in such patients.

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