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Compression stockings and non-continuous use of polyurethane foam dressings for the treatment of venous ulceration. A pilot study.

BACKGROUND: Venous ulceration is usually treated with Unna's boot. Recently another product, Ulcer-care, has been developed to treat these ulcers. OBJECTIVE: To evaluate the therapeutic value of Ulcer-care. METHODS: Over 24 months, 20 ambulatory patients with 30 lower extremity stasis ulcers were treated with a product consisting of: 1) a hydrophilic polyurethane sponge covered by a hydrophobic membrane changed daily or every other day; 2) an inner liner stocking that applies 10 mmHg pressure and is worn 24 hours a day; and 3) a surgical stocking with a posterior zipper that applies 30 mmHg graduated pressure and is removed at night. RESULTS: All ulcers healed after 2 to 30 weeks (mean 8.3 weeks) including 15 previously treated by Unna's boot or hydrocolloid dressings and 3 infected ulcers. CONCLUSION: The Ulcer care treatment for stasis ulcers is highly successful, easy to use, and well accepted by patients.

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