title: [Compression therapy in leg ulcers].
abstract: Compression therapy is well-tried treatment with only few side effects for most patients with leg ulcers and/or edema. Despite the very long tradition in German-speaking countries and good evidence for compression therapy in different indications, recent scientific findings indicate that the current situation in Germany is unsatisfactory. Today, compression therapy can be performed with very different materials and systems. In addition to the traditional bandaging with Unna Boot, short-stretch, long-stretch, or multicomponent bandage systems, medical compression ulcer stockings are available. Other very effective but far less common alternatives are velcro wrap systems. When planning compression therapy, it is also important to consider donning devices with the patient. In addition to compression therapy, intermittent pneumatic compression therapy can be used. Through these various treatment options, it is now possible to develop an individually accepted, geared to the needs of the patients, and functional therapy strategy for nearly all patients with leg ulcers.
authors.affiliation: Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen, Deutschland. joachim.dissemond@uk-essen.de.
authors.forename: J
authors.initials: J
authors.lastname: Dissemond
authors.affiliation: Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), CWC - Comprehensive Wound Center, Universitätsklinikum Hamburg Eppendorf, Martinistr. 52, 20251, Hamburg, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Protz
authors.affiliation: , Königswall 16-18, 45657, Recklinghausen, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Reich-Schupke
authors.affiliation: Klinik für Dermatologie, Venerologie und Allergologie, Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Stücker
authors.affiliation: Klinik für Gefäßmedizin, Angiologie, HELIOS Klinikum Krefeld, Lutherplatz 40, 47805, Krefeld, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Kröger
mesh_terms: D004867:Equipment Design; D019544:Equipment Failure Analysis; D019317:Evidence-Based Medicine; D006801:Humans; D007871:Leg Ulcer / Q000175:diagnosis* / Q000628:therapy*; D053828:Stockings, Compression; D013673:Technology Assessment, Biomedical; D016896:Treatment Outcome
keywords: Compressing stockings; Compression bandages; Contraindications; Edema; Multicomponent bandage systems