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Evidence-Based Treatment of Chronic Leg Ulcers.

Background: Chronic leg ulcers are defined as those that show no tendency to heal after 3 months of appropriate treatment or are still not fully healed at 12 months. In this article, we present an approach to the challenging problem of chronic leg ulcers that is based on the principles of evidence-b...

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Published in:Deutsches Ärzteblatt International Vol. 108; no. 14; pp. 231 - 238
Main Authors: Kahle, Birgit, Hermanns, Hans-Joachim, Gallenkemper, Georg
Format: pictorial review tables/charts Journal Article
Published: Deutscher Aerzte-Verlag GmbH 4/8/2011
Online Access:View this record in EBSCOhost
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      dt: 4/8/2011
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      pub: Deutscher Aerzte-Verlag GmbH
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        atl: Evidence-Based Treatment of Chronic Leg Ulcers.
      aug:
        au:
          Kahle, Birgit
          Hermanns, Hans-Joachim
          Gallenkemper, Georg
        affil: Universität Schleswig-Holstein, Campus Lübeck, Klinik für Dermatologie, Allergologie und Venerologie
      sug:
        subj:
          Medical Practice, Evidence-Based
          Leg Ulcer
          Wounds, Chronic
          Wound Healing
          Venous Ulcer Diagnosis
          Venous Ulcer Therapy
          Compression Therapy
          Venous Ulcer Surgery
          Diabetes Mellitus Complications
          Bandages and Dressings
          Diabetic Foot Risk Factors
          Pressure Ulcer Therapy
          Pressure Ulcer Surgery
      ab: Background: Chronic leg ulcers are defined as those that show no tendency to heal after 3 months of appropriate treatment or are still not fully healed at 12 months. In this article, we present an approach to the challenging problem of chronic leg ulcers that is based on the principles of evidence-based medicine, i.e., the explicit use of the best available scientific evidence as a guide to treatment. Methods: Selective review of the relevant literature, including current guidelines and meta-analyses, concerning diagnostic and therapeutic strategies for chronic leg ulcers. Results: The main types of causally directed treatment are: vein surgery to eliminate pathological reflux, interventions to improve the circulation in arterial occlusive disease, and treatment of underlying diseases, such as diabetes melli-tus. Conclusion: Physicians providing modern evidence-based management of chronic leg ulcers should make use of their own clinical experience in combination with the best current scientific evidence. It seems clear that the many available treatment options should be evaluated critically in an interdisciplinary setting. In particular, causally directed treatment must be provided in addition to symptomatic, stage-based local wound treatment.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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