Compression Therapy for Foot Wounds: Overview and Case Reports

Steven Miller, DPM

Disclosures

Wounds. 2005;17(10):278-281. 

In This Article

Abstract and Introduction

Interstitial edema can impair wound healing. Compression is a well-documented, effective method to reduce interstitial edema associated with venous leg ulcers. However, there are few reports of its effectiveness in the management of foot wounds. The author presents 2 cases where multilayer compression bandages were instrumental in the treatment of foot wounds.

Interstitial edema can impair wound healing, and while the exact mechanism is unknown, healing may be impaired by increased distance for diapedesis from capillary bed to cell, restricted ability to remove metabolites and cell debris, deposition of fibrin around the capillary bed, and plugging of capillaries by leukocytes. Armstrong[1,2] demonstrated that edema reduction by intermittent mechanical compression improved the healing of foot wounds. The author presents 2 cases where multilayer compression bandages were utilized as an adjunctive measure in the treatment of foot wounds.

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