Carlos Sánchez Fernández de la Vega*

Fingoi Centre/Primary Care-Galego Health Service, Lugo, Spain

*Corresponding Author: Carlos Sánchez Fernández de la Vega, Fingoi Centre/Primary Care-Galego Health Service, Lugo, Spain.

Received: June 07, 2024; Published: June 12, 2024

Abstract

In this article, I clearly and visually present the clinical progression of venous ulcers located in the malleolar region. It is important to note that most of these ulcers are found in the medial malleolar region [1]. Among the many cases I have treated, I detail a series of ten relevant clinical cases that have been healed exclusively using a simple technique known as double focal compression. I have used this technique for over 24 years, consistently achieving excellent results [2].

The epidemiological data regarding venous leg ulcers, especially their low healing rates and frequent recurrences, are surprising given the recent advances in managing this complication [3]. An important finding is that there have been no ulcer recurrences in the treated areas when patients have consistently adhered to the recommendations of permanently wearing strong compression stockings after the ulcer has healed [4]. Compression therapy can alleviate the clinical effects of venous hypertension, but it cannot fully reverse the condition. However, initiating treatment at an early stage (CEAP classification, C1, C2, C3) can significantly mitigate its impact.

I developed a working hypothesis based on vascular pathophysiology. Applying pressure to the ulcer bed stimulates arteriogenesis and angiogenesis in the affected area, which are the physiological principles supporting this technique. Blood flow is redirected through vessels in optimal condition, compensating for the tissue perfusion deficit caused by damaged vessels. This tissue perfusion deficit is the cause of ulcer formation.

Keywords: Venous Leg Ulcers; Malleolus; Double Focal Compression Bandaging

References

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Citation

Citation: Carlos Sánchez Fernández de la Vega. “Ankle Venous Ulcers. Double Focal Compression Bandaging".Acta Scientific Clinical Case Reports 5.7 (2024): 16-34.

Copyright

Copyright: © 2024 Carlos Sánchez Fernández de la Vega. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.