Publication:

A prospective, open label, clinical study for evaluation of management of chronic non-healing, non-diabetic leg ulcers in a tertiary care hospital

Background Accurate diagnosis is essential if patients with chronic leg ulceration are to receive optimal treatment. Multiple disciplinary approach is usually required for complete healing of chronic ulcers.

Methods A prospective study of seven months duration was conducted on 50 consecutively admitted cases of chronic leg and foot ulcers in age group of 5-80 years of both genders. A through detailed history and clinical examination was undertaken. Local Symptoms, trophic skin changes and venous insufficiency if any was recorded. Both general and specific treatments were provided.

Results Maximum cases were in the age group of 31-50 years, M: F ratio 1.9:1 and rural: urban ratio 2.57:1. Majority of patients were illiterate (76%), and were drawn from lower class of the society (56%). Majority of patients (54%) were smokers, tobacco chewers or alcoholics. Site of ulcer was foot 52% followed by leg 18%, ulcer origin was traumatic in 72% of cases and ischaemic ulcers were minimum 2%. Symptom wise wound, pain and discharge 32% followed by wound and discharge 26% were noted. 66% of ulcers were secondarily infected and maximum number of cases 68% stayed in hospital for about 2 weeks. In 68% cases healing was complete in about 3 months.

Conclusions A correct diagnosis, multidisciplinary approach, optimal treatment and assessment of vascular status can facilitate healing of chronic leg ulcers in nondiabetic cases.