A review on grafting new ways in the management of chronic leg ulcers on an outpatient basis

• Author Details:   
• Gayathri Sreekumar
• Shreya Srinivasan
• Vignesh Nambi Ravi
• Manoharan Dhanaraj
• Narayanan Baskaran ^*

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Chronic leg ulcer is a common condition leading to clinical concern. Accurate diagnosis and planning treatment are essential components of good management of wellbeing of the patient. Venous and arterial disorders comprise major aetiology of ulceration. Diabetes, hypertension, metabolic disorders, vasculitis and skin cancer are all uncommon causes of leg ulcers. Compression bandaging at a level adequate for their vascular state is beneficial to almost all individuals with ulcerated legs. This can be accomplished in patients with venous ulcers using a variety of bandaging techniques. Multilayer bandaging is a very cost-effective option especially if it is applied in community-based leg ulcer clinics. Oral medication treatment for venous and arterial disease has had unsatisfactory results. In ulcers that do not respond to compression therapy, local dressings are critical. The type of dressing chosen is decided by the type of ulcer and the patient’s tolerance of the dressing. Few newer methods of dressing can be tried based of the affordability of the patient. A mention about methods such as PRP and split thickness skin grafting which can be done in OPD basis and are very effective options.

Keywords: Chronic ulcer, Venous ulcer, Neuropathic ulcer