Comprehensive Care of Lower-Extremity Wounds

Abstract

There are 5 common types of chronic nonhealing lower-extremity wounds: arterial, venous, diabetic foot ulcer, pressure, and mixed or atypical. Each chronic wound type has distinct features, and understanding the underlying cause will dictate the wound treatment plan. Here, the authors review the distinguishing wound properties for these 5 common chronic nonhealing lower-extremity wounds and outline a comprehensive treatment plan that addresses wound perfusion, debridement, infection control, moisture balance, and use of complementary advanced wound care products.

Keywords: Arterial ulcer; Atypical wound; Chronic nonhealing wounds; Diabetic foot ulcer; Lower-extremity wounds; Mixed wound; Pressure ulcer; Venous ulcer.