Leg ulcers - dressings

Assessment

The choice of compression depends of the results of a holistic assessment as to whether or not the patient is suitable for:

Full compression
Reduced compression
No compression

Please refer to the chapter Legs ulcers for the holistic assessment.

Compression techniques

The demonstrations shown below are not comprehensive, other brands are available.

1. Profore multi-layer compression system

This comes as a 4 layer system for full compression, but a specific layer can be taken out so that it can be used as reduced compression. This method is shown below in four steps, press the play button to start each video. For more information please refer to website for Urgo Medical, who kindly developed this video for the PCDS.

2. KTwo - standard and reduced pressure bandages

The video below, and the Urgo Medical website shows how to apply KTwo standard and reduced pressure bandages from Urgo Medical.

The standard dressing is suitable for full compression
The reduced pressure bandage is for reduced compression

3. Below knee bandaging with Actico - full compression only

This video demonstrates how to apply Actico bandages from Activa Healthcare. Actico inelastic compression bandages are indicated for venous leg ulcers, chronic oedema and lymphoedema.

Advantages - effective for legs ulcers, especially with associated oedema
Disadvantages - the system relies on the patient being able to mobilise their calf muscles, either walking or sitting, consequently it is not suitable for patients unable to regularly mobilise their calf as a result of either physical or cognitive impairment