By A.-A. Ramelet, J. Hafner, U. Brunner, W. Schmeller, P. Itin, G.B.E. Jemec
A finished consultant to the evaluate and remedy of leg ulcers. varied points of venous leg ulcers like epidemiology, exam with Doppler and duplex sonography, venography, practical exams in addition to the commonest sleek classifications are recapitulated. additionally, conservative therapy tools resembling compression treatment, mobilization of the ankle joint and lymph drainage or varied surgical concepts for recalcitrant venous ulcers are mentioned. The chapters facing diabetic foot ulcers provide a normal outlook together with sufferer guide, orthopaedic shoes and podiatric care besides administration of the diabetic foot an infection, and the indicators for orthopaedic and vascular interventions.
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Extra resources for Management of Leg Ulcers (Current Problems in Dermatology Vol 27)
Arch Dermatol 1986;122:52–57. Madden MR, Nolan E, Finkelstein JL, Yurt RW, Smeland J, Goodwin CW, Hefton J, StaianoCoico L: Comparison of an occlusive and a semi-occlusive dressing and the effect of the wound exudate upon keratinocyte proliferation. J Trauma 1989;29:924–930. Cramers M: Wound dressing after skin planing. Acta Derm Venereol 1989;69:453–454. Leipziger LS, Glushko V, DiBernardo B, Shafaie F, Noble J, Nichols J, Alvarez OM: Dermal wound repair: Role of collagen matrix implants and synthetic polymer dressings.
In contrast, the presence of anaerobes in a diabetic foot may be detrimental . Four and more bacterial species on the same wound may be associated with impaired wound healing . S. aureus, Pseudomonas and -hemolytic streptococci were suspected to be a detrimental inﬂuence for wound healing [16–18]. S. aureus and Pseudomonas might impair the take of split skin grafts [16, 19]. Pseudomonas and Enterococcus faecalis are encountered more frequently on large ulcerations [2, 12, 17]. It is not clear if the healing process can be complicated by these strains.
J Wound Care 1997; 6:322–324. Handﬁeld-Jones SE, Grattan CE, Simpson RA, Kennedy CT: Comparison of a hydrocolloid dressing and paraffin gauze in the treatment of venous ulcers. Br J Dermatol 1988;118:425–427. Van Rijswijk L: Full-thickness leg ulcers: Patient demographics and predictors of healing. J Fam Pract 1993;36:1–5. Friedman SJ, Su WP: Management of leg ulcers with hydrocolloid occlusive dressing. Arch Dermatol 1984;120:1329–1336. Van Rijswijk L, Brown D, Friedman S, Degreef H, Roed-Petersen J, Borglund E, Ebert HM, Sayag J, Beylot C, Su WP: Multicenter clinical evaluation of a hydrocolloid dressing for leg ulcers.