Venous leg ulcers are chronic wounds which often persist for many years, despite active treatment, and occur predominantly in people over the age of 60. In recent times, the care of these wounds has shifted from the acute care sector into the community, where wound care services and products aren’t fully subsidised by the government. It is logical to assume that these costs are passed onto the ...

Diabetic ulcers on the lower extremities present a difficult treatment problem, and some ulcers respond poorly to conventional topical and cast treatment. The purpose of this study was to assess the effect of cultured allogeneic keratinocyte epithelium and fibroblast-gelatin sponge on the healing of chronic, refractory diabetic leg and foot ulcers. Non-diabetic chronic leg ulcers were treated f...

J O U R N A L O F WO U N D C A R E VO L 1 5 , N O 8 , S E P T E M B E R 2 0 0 6 3 4 8 C ommunity leg ulcer clinics have emerged as a new approach to leg ulcer management. Studies have found that they improved healing rates1-3 when compared with individual nursing care. Such clinics provide easier access to wound care specialist nurses, increased social interaction and improved information excha...

Patients with Werner's syndrome frequently develop chronic leg ulcers that heal poorly. We present a patient who suffered from this rare syndrome and developed typical heel ulcers. Treatment of the ulcer is challenging, as flap options are limited over the lower third of the leg and skin grafting is not easy as there is a lack of healthy granulations. We successfully treated the ulcer with oste...

Background Martorell’s ulcer is also a type of ischaemic ulcer occurring in hypertensive patients. The main features of this lesion are the following: location on the lower anteroexterior surface of the lower two thirds of the leg; pain far more severe than is expected given the size of the ulcer; significant arterial or venous disease; female-tomale predominance, association with no-controlled...

AIM To estimate the cumulative incidence rate and prevalence of leg ulcers in Auckland. METHODS A cross-sectional study was conducted to identify all individuals who had or developed a leg ulcer in the North Auckland and Central Auckland health districts between 1997 and 1998. Cases were identified through multiple sources, including community-based and hospital-based health professionals and...