A comprehensive guide to the assessment and treatment of leg ulcers. Different aspects of venous leg ulcers like epidemiology, examination with Doppler and duplex sonography, venography, functional assessments as well as the most common modern classifications are recapitulated. Also, conservative treatment methods such as compression therapy, mobilization of the ankle joint and lymph drainage or different surgical techniques for recalcitrant venous ulcers are discussed. The chapters dealing with diabetic foot ulcers give a general outlook including patient instruction, orthopaedic footwear and podiatric care along with management of the diabetic foot infection, and the indications for orthopaedic and vascular interventions.
Author(s): J. Hafner, A. Ramelet, W. Schmeller, U. Brunner
Edition: 1
Year: 1999
Language: English
Pages: 303
Cover......Page 1
Management of Leg Ulcers......Page 4
Current Problems in
Dermatology
Vol. 27......Page 3
ISBN 3805566549......Page 5
Contents......Page 6
Editors’ Portraits......Page 10
Acknowledgment......Page 12
Management of Leg Ulcers......Page 13
Molecular Biology of Chronic Wounds......Page 17
Cytokines in Progessing Stages of Chronic Venous Insufficiency......Page 22
Bacteriology of Leg Ulcers......Page 29
Synthetic Dressings......Page 35
Therapy with Growth Factors......Page 58
Cultured Keratinocyte Grafts......Page 66
Epidemiology of Leg Ulcers......Page 74
Postthrombotic Syndrome......Page 79
Classification of Chronic Venous Insufficiency......Page 7
Venous Mapping with Doppler and
Duplex Sonography......Page 98
Duplex Ultrasound for the
Assessment of Venous Reflux......Page 105
Phlebography......Page 111
Magnetic Resonance Imaging and
Computed Tomography in Advanced
Chronic Venous Insufficiency......Page 118
Plethysmography......Page 123
Microangiopathy in the Pathogenesis of
Chronic Venous Insufficiency......Page 133
Compression Therapy of Venous Ulcers......Page 139
Physical Therapy of the Ankle Joint in
Patients with Chronic Venous
Incompetence and Arthrogenic
Congestive Syndrome......Page 150
Manual Lymph Drainage......Page 157
Adjuvant Systemic Drug Therapy in Venous Leg Ulcers......Page 162
Controversies onEmerging and Obsolete Therapies inVenous Leg Ulcers......Page 170
Chronic Leg Ulcers and Eczema......Page 174
Complications in the Treatment of Leg Ulcers......Page 179
Surgical Management of Varicose Veins in Advanced Chronic Venous Insufficiency......Page 183
Paratibial Fasciotomy and Crural Fasciectomy......Page 191
Subfascial Endoscopic Perforator Surgery......Page 199
Shave Therapy for Recalcitrant Venous Ulcers......Page 204
Part III. Arterial Leg Ulcers......Page 8
Assessment of Peripheral Arterial Occlusive Disease......Page 212
Management of Arterial Leg Ulcers and of Combined (Mixed) Venous-Arterial Leg Ulcers......Page 220
Percutaneous Transluminal Angioplasty in the Management of Arterial Leg Ulcers......Page 229
Reconstructive Arterial Surgery......Page 235
Conservative Therapy of Diabetic Foot......Page 244
Orthopedic Aspects in Diabetic Neuropathic Osteoarthropathy......Page 251
Diabetic Foot Infection......Page 261
Differential Diagnosis of Leg Ulcers......Page 268
Management of Leg Ulcers in Rheumatoid Arthritis and in Systemic Sclerosis......Page 280
Management of Vasculitic Leg Ulcers and Pyoderma gangrenosum......Page 286
Conclusions......Page 295
Author Index......Page 298
Subject Index......Page 299
