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The International Journal of Lower Extremity Wounds
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Chronic Nonhealing Ulcer of the Lower Limb with Mixed Arterio-Venous Pathology

K. S. Vijayaraghavan, MS, FRCS

Department of Vascular Surgery, Sri Ramachandra Medical College and Research Institute, Deemed University, Chennai—600116, India

M. K. Ayyappan, MS, FRCS

Department of Vascular Surgery, Sri Ramachandra Medical College and Research Institute, Deemed University, Chennai—600116, India

Shankar Ganesh, MS

Department of Vascular Surgery, Sri Ramachandra Medical College and Research Institute, Deemed University, Chennai—600116, India

Kaushik Bhattacharya, MS, DNB, MNAMS

Department of Vascular Surgery, Sri Ramachandra Medical College and Research Institute, Deemed University, Chennai—600116, India kaushik_srmc{at}rediffmail.com

Chronic wounds in which arterial and venous pathology coexist are relatively uncommon. The authors report a case of a diabetic lady who presented with claudication pain and a chronic nonhealing lower extremity wound of more than 6 months. In these patients, it is mandatory to treat the arterial insufficiency first, and it is also important to avoid compression bandaging, which is advised for venous ulcers.

Key Words: nonhealing wound • varicose veins • limb ischemia

The International Journal of Lower Extremity Wounds, Vol. 3, No. 1, 47-48 (2004)
DOI: 10.1177/1534734604263455
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