Leg Ulcers




  • Includes discussion on the causes of leg ulcers and provides a relevant case study
  • Contains appropriate visual and diagrammatic supports
  • Covers the general principles for the assessment of leg ulcers and possible treatment options
  • Compares between signs and symptoms of venous and arterial ulcers
  • Discusses mixed vessel ulcers

Leg ulcers are a significant burden on patients, their families, and healthcare systems. Approximately 15% of persons over the age of 80 years suffer from a leg ulcer (Hewitt et al. 2003). Leg ulcers have a high rate of recurrence and some people endure many years of non-healing leg ulcers (Scully 1999). This chapter first discusses the assessment and treatment of leg ulcers in general terms. For specific advice on the assessment and management of particular types of leg ulcers, see 'Venous leg ulcers' (this chapter, page 151) and 'Arterial leg ulcers' (this chapter, page 161).


Contents include

  • Causes of leg ulcers
  • Assessment
    • General principles of assessment
    • Leg-ulcer assessment tools
    • Specific investigations
    • Multidisciplinary assessment
    • Examination of the limb
    • Examination of the ulcer
  • Treatment objectives
  • Venous leg ulcers
    • Venous systems in the lower limb
    • Pathophysiology of leg ulcers
    • Conditions associated with venous insufficiency
    • Clinical appearance of venous ulcers
    • Skin conditions associated with venous insufficiency
    • Palpation of foot pulses
    • Investigations
    • Treatment of venous leg ulcers
    • Long-term care of venous insufficiency
  • Arterial leg ulcers
    • Conditions associated with arterial insufficiency
    • Clinical indications of arterial disease
    • Clinical appearance of arterial ulcers
    • Investigations
    • Treatment of arterial leg ulcers
  • Mixed vessel ulcers
  • Other aetiologies
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Author / Editor Biographies

Nurse Practitioner Wound Management
Sue Templeton works as the Nurse Practitioner Wound Management for RDNS SA. Sue has worked in wound management since 1987 and has extensive clinical experience managing a variety of acute and chronic wounds. Sue provides clinical consultancy services, develops and delivers wound management education and is involved in the development of wound management tools, policies and procedures. Sue has been involved in AWMA/Wounds Australia at a national and local level for a number of years. Sue has undertaken clinical research and published and presented locally, nationally and internationally. Sue ha...

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