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When is reduced-compression bandaging safe and effective?

J Arthur1, P Lewis

  • 1Torbay Hospital, Devon, UK.

Journal of Wound Care
|April 6, 2002
PubMed
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Reduced-compression bandaging effectively treats venous leg ulcers in patients intolerant to standard compression. This method is safe and well-tolerated, even with peripheral vascular disease, promoting ulcer healing.

Area of Science:

  • Vascular Surgery
  • Dermatology
  • Wound Care

Background:

  • Venous leg ulcers are common, often requiring compression bandaging for treatment.
  • Standard high-compression bandaging can be poorly tolerated by some patients, particularly those with peripheral vascular disease.
  • Alternative compression strategies are needed for difficult-to-treat leg ulcers.

Purpose of the Study:

  • To evaluate the efficacy and tolerability of reduced-compression bandaging in patients with venous leg ulcers.
  • To assess the safety of reduced-compression bandaging in patients with significant peripheral vascular disease.
  • To compare outcomes in patients with venous ulcers versus mixed aetiology leg ulcers treated with reduced compression.

Main Methods:

  • A prospective study of 44 patients treated with reduced-compression bandaging over one year.

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  • Group 1: 20 patients with venous ulcers intolerant to standard compression.
  • Group 2: 24 patients with mixed aetiology leg ulcers and peripheral vascular disease (ABPI < 0.8).

    • Main Results:

    • Reduced-compression bandaging was well-tolerated by 42 of 44 patients, with no discomfort or skin pressure changes.
    • Healing was achieved in 32 patients (13 in group 1, 19 in group 2).
    • Non-healed ulcers showed reduction in size and exudate.

    Conclusions:

    • Reduced-compression bandaging is an effective and well-tolerated treatment for venous leg ulcers in patients unable to tolerate standard compression.
    • This approach is safe for patients with significant peripheral vascular disease when used with close supervision.
    • Reduced-compression bandaging offers a viable alternative for managing complex leg ulcers.