Successful treatment of a Martorell's hypertensive ischemic leg ulcer with an interprofessional approach.
Background Martorell's ulcer, also known as hypertensive leg ulcer (Martorell hypertensive ischemic leg ulcer /HYTILU/) is a challenging chronic ulcer form and often underdiagnosed. Aim To highlight the role of interprofessional teamwork in treating Martorell HYTILU ulcers. Method Case study of a 69...
| Publicado en: | Journal of Wound Management Vol. 26; no. 3; pp. 203 - 207 |
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| Autores principales: | , , , |
| Formato: | case study pictorial tables/charts Journal Article |
| Publicado: |
Cambridge Publishing
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189092398&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189092398 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 27885771 MZEQ jtl: Journal of Wound Management issn: 27885771 maglogo: N pubinfo: dt: Nov2025 vid: 26 iid: 3 pid: 66266 pub: Cambridge Publishing artinfo: ui: 189092398 189092398 189092398 10.35279/jowm2025.26.03.12 189092398 ppf: 203 ppct: 4 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Successful treatment of a Martorell's hypertensive ischemic leg ulcer with an interprofessional approach. aug: au: </strong>, <strong>Author(s) Sayeda, Réka Noronen, Katariina Kirsi, Isoherranen affil: 1 Helsinki Wound Healing Centre, Helsinki University Hospital, PL 281 00029 HUS, Finland sug: subj: Leg Ulcer Therapy Multidisciplinary Care Team Interprofessional Relations Teamwork Collaboration Treatment Outcomes Female Aged Hypertension Complications Ischemia Complications Wounds, Chronic Therapy Professional Role Ankle Pathology Cefuroxime Therapeutic Use Leg Ulcer Surgery Referral and Consultation Academic Medical Centers Computed Tomography Angiography Revascularization Negative Pressure Wound Therapy Skin Transplantation Compression Therapy Antiinfective Agents Therapeutic Use Wound Infection Diagnosis Hospitalization Diagnosis, Delayed Edema Therapy Pain Management Wound Healing Aged: 65+ years Female ab: Background Martorell's ulcer, also known as hypertensive leg ulcer (Martorell hypertensive ischemic leg ulcer /HYTILU/) is a challenging chronic ulcer form and often underdiagnosed. Aim To highlight the role of interprofessional teamwork in treating Martorell HYTILU ulcers. Method Case study of a 69-year-old woman with chronic ulcers in the left ankle, identified as ischemic and Martorell HYTILU ulcers. The interprofessional team included vascular surgeons, dermatologists, plastic surgeons, a geriatrician, an infectious disease specialist, tissue viability nurses and a physiotherapist. Discussion At first visit, ER evaluation showed palpable ADP and ATP. Cefuroxime was started, and surgical revision was assigned. After second revision, the ulcers necrotized again and became extremely painful. On second evaluation, peripheral pulses were not palpable, and the patient was referred to university hospital, where she received interprofessional care. In CTA, multilevel atherosclerotic stenoses were seen on the left limb. After revascularization, intravenous sodium thiosulfate treatment was initiated due to clinical suspicion of Martorell HYTILU ulcer and the reappearance of necrotic tissue declined. Negative pressure wound therapy (NPWT) was started, but technical challenges prevented compression therapy threatening the skin graft's success due to leg oedema. After skin grafting, NPWT was replaced by compression therapy. After 3 months, the ulcer was healed. Conclusion Interprofessional teamwork is essential for treating Martorell HYTILU ulcers. Regular clinical evaluations and education on leg oedema treatment are also crucial. Implications for clinical practice Clear, concise, and concrete instructions aid the work of the receiving care unit. pubtype: Academic Journal doctype: case study pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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