Compression therapy in leg ulcers

Conclusion In addition to the principles of modern wound management and to endovenous procedures abolishing superficial venous reflux compression therapy in combination with mobilization and walking exercises is still the basic treatment modality of leg ulcers. Highlights ► The dosage of compression therapy corresponding to the pressure on the leg has been widely ignored in previous research. ► Measurement of compression pressure is not only an important prerequisite to compare the effects of different compression materials in clinical trials but is also helpful for training purposes to apply appropriate bandages. ► In experimental studies a dose –response relation can be evaluated relating compression pressure to the effect of compression on oedema, venous reflux and pumping function or on arterial and microcirculatory parameters. ► Such experiments help to better understand the importance of compression therapy in ulcer healing.
Source: Reviews in Vascular Medicine - Category: Cardiology Source Type: research