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Treatment of venous ulcers with an unna boot: a case study

Objective: To assess the healing process of a patient wit h a venous ulcer in a lower limb subject to treatment with an Unna boot. Method: This case study was conducted in the Outpatient Wound Care service of a public hospital in Niteroi, RJ, Brazil between July and September, 2011. A protocol addressing clinica l data was used to assess the wounds healing process, together with measurement of the lesion area and photographic recording. The study was approved by the hospitals Institutional Review Board (Protocol No. 327\10). Results: the wound healed after 12 weeks of follow-up and the patient reported reduced pain and edema in his legs. Conclusion: The treatment with an Unna boot was effective in healing the venous ulcer when associated with systematized outpatient follow-up.

A study of the Unna Boot compared with the elastic bandage in venous ulcers: a randomized clinical trial

Objective: to analyze the process of tissue repair in patients with venous ulcers using inelastic compression therapy (the Unna Boot), in comparison with the use of the elastic bandage.Method: a controlled randomized clinical trial in which the patients (n=18) were allocated to two groups, those who used the Unna Boot (group B) and those who used the elastic bandage (group A). The studys follow-up period was 13 weeks.Results: a significant reduction took place, at the level of 5%, in the area, in square centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and there was a tendency of group A for reduction in the area of the ulcer, in centimeters squared (p=0.06), only after the fifth week.Conclusion: the treatment with the Unna Boot presented better results in venous ulcers with areas over 10cm², and the elastic bandage with Petrolatum(r) gauze in venous ulcers below 10cm². Brazilian Clinical Trials Register: Trial (req: 195) and WHO UTN U1111-1122-5489.Objetivo:analizar el proceso de reparacion del tejido de pacientes con ulcera venosa que usan la terapia compresiva inelastica (Bota de Unna), en comparacion con el uso del vendaje elastico.Metodo:ensayo clinico controlado aleatorio en que los pacientes (n=18) fueron designados en dos grupos, los que utilizaban la Bota de Unna (grupo B) y los que utilizaban el vendaje elastico (grupo A). El tiempo de duracion de la investigacion fue de trece semanas.Resultados:se constato reduccion significativa, al nivel de 5%, en el area, en centimetros cuadrados, de las ulceras del grupo B (p<0,0001) a lo largo de todo el tratamiento; y tendencia del grupo A a la reduccion, en el area de la ulcera, en centimetros cuadrados (p=0,06), solamente despues de la quinta semana.Conclusion:el tratamiento con la Bota de Unna presento mejor resultado en ulceras venosas con areas superiores a 10cm², y el vendaje elastico con la gasa Petrolatum(r)en ulceras venosas inferiores a 10cm². Registro Brasileno de Ensayos Clinicos: Trial (req: 195) y WHO UTN U1111-1122-5489.Abstract Objective: to analyze the process of tissue repair in patients with venous ulcers using inelastic compression therapy (the Unna Boot), in comparison with the use of the elastic bandage. Method: a controlled randomized clinical trial in which the patients (n=18) were allocated to two groups, those who used the Unna Boot (group B) and those who used the elastic bandage (group A). The studys follow-up period was 13 weeks. Results: a significant reduction took place, at the level of 5%, in the area, in square centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and there was a tendency of group A for reduction in the area of the ulcer, in centimeters squared (p=0.06), only after the fifth week. Conclusion: the treatment with the Unna Boot presented better results in venous ulcers with areas over 10cm², and the elastic bandage with Petrolatum(r) gauze in venous ulcers below 10cm². Brazilian Clinical Trials Register: Trial (req: 195) and WHO UTN U1111-1122-5489.to analyze the process of tissue repair in patients with venous ulcers using inelastic compression therapy (the Unna Boot), in comparison with the use of the elastic bandage.a controlled randomized clinical trial in which the patients (n=18) were allocated to two groups, those who used the Unna Boot (group B) and those who used the elastic bandage (group A). The studys follow-up period was 13 weeks.a significant reduction took place, at the level of 5%, in the area, in square centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and there was a tendency of group A for reduction in the area of the ulcer, in centimeters squared (p=0.06), only after the fifth week.the treatment with the Unna Boot presented better results in venous ulcers with areas over 10cm², and the elastic bandage with Petrolatum® gauze in venous ulcers below 10cm². Brazilian Clinical Trials Register: Trial (req: 195) and WHO UTN U1111-1122-5489.

All about compression: A literature review

Lower extremity ulcers represent a significant public health problem as they frequently progress to chronicity, significantly impact daily activities and comfort, and represent a huge financial burden to the patient and the health system. The aim of this review was to discuss the best approach for venous leg ulcers (VLUs). Online searches were conducted in Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL, and reference lists and official guidelines. Keywords considered for this review were VLU, leg ulcer, varicose ulcer, compressive therapy, compression, and stocking. A complete assessment of the patients overall health should be performed by a trained practitioner, focusing on history of diabetes mellitus, hypertension, dietetic habits, medications, and practice of physical exercises, followed by a thorough assessment of both legs. Compressive therapy is the gold standard treatment for VLUs, and the ankle-brachial index should be measured in all patients before compression application.

Estudio de la Bota de Unna comparada al vendaje elástico en úlceras venosas: ensayo clínico aleatorio

Objective: to analyze the process of tissue repair in patients with venous ulcers using inelastic compression therapy (the Unna Boot), in comparison with the use of the elastic bandage.Method: a controlled randomized clinical trial in which the patients (n=18) were allocated to two groups, those who used the Unna Boot (group B) and those who used the elastic bandage (group A). The studys follow-up period was 13 weeks.Results: a significant reduction took place, at the level of 5%, in the area, in square centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and there was a tendency of group A for reduction in the area of the ulcer, in centimeters squared (p=0.06), only after the fifth week.Conclusion: the treatment with the Unna Boot presented better results in venous ulcers with areas over 10cm², and the elastic bandage with Petrolatum(r) gauze in venous ulcers below 10cm². Brazilian Clinical Trials Register: Trial (req: 195) and WHO UTN U1111-1122-5489.Objetivo:analizar el proceso de reparacion del tejido de pacientes con ulcera venosa que usan la terapia compresiva inelastica (Bota de Unna), en comparacion con el uso del vendaje elastico.Metodo:ensayo clinico controlado aleatorio en que los pacientes (n=18) fueron designados en dos grupos, los que utilizaban la Bota de Unna (grupo B) y los que utilizaban el vendaje elastico (grupo A). El tiempo de duracion de la investigacion fue de trece semanas.Resultados:se constato reduccion significativa, al nivel de 5%, en el area, en centimetros cuadrados, de las ulceras del grupo B (p<0,0001) a lo largo de todo el tratamiento; y tendencia del grupo A a la reduccion, en el area de la ulcera, en centimetros cuadrados (p=0,06), solamente despues de la quinta semana.Conclusion:el tratamiento con la Bota de Unna presento mejor resultado en ulceras venosas con areas superiores a 10cm², y el vendaje elastico con la gasa Petrolatum(r)en ulceras venosas inferiores a 10cm². Registro Brasileno de Ensayos Clinicos: Trial (req: 195) y WHO UTN U1111-1122-5489.Abstract Objective: to analyze the process of tissue repair in patients with venous ulcers using inelastic compression therapy (the Unna Boot), in comparison with the use of the elastic bandage. Method: a controlled randomized clinical trial in which the patients (n=18) were allocated to two groups, those who used the Unna Boot (group B) and those who used the elastic bandage (group A). The studys follow-up period was 13 weeks. Results: a significant reduction took place, at the level of 5%, in the area, in square centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and there was a tendency of group A for reduction in the area of the ulcer, in centimeters squared (p=0.06), only after the fifth week. Conclusion: the treatment with the Unna Boot presented better results in venous ulcers with areas over 10cm², and the elastic bandage with Petrolatum(r) gauze in venous ulcers below 10cm². Brazilian Clinical Trials Register: Trial (req: 195) and WHO UTN U1111-1122-5489.to analyze the process of tissue repair in patients with venous ulcers using inelastic compression therapy (the Unna Boot), in comparison with the use of the elastic bandage.a controlled randomized clinical trial in which the patients (n=18) were allocated to two groups, those who used the Unna Boot (group B) and those who used the elastic bandage (group A). The studys follow-up period was 13 weeks.a significant reduction took place, at the level of 5%, in the area, in square centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and there was a tendency of group A for reduction in the area of the ulcer, in centimeters squared (p=0.06), only after the fifth week.the treatment with the Unna Boot presented better results in venous ulcers with areas over 10cm², and the elastic bandage with Petrolatum® gauze in venous ulcers below 10cm². Brazilian Clinical Trials Register: Trial (req: 195) and WHO UTN U1111-1122-5489.