Proinflammatory Cytokines, Sharp Debridement, Treatment of Leg Ulcer
Conditions
Keywords
leg ulcer, wound therapy, Pro-inflammatory interleukins
Brief summary
The purpose of this study is to investigate the rate of wound healing using sharp debridement using curette and to compare between such intensive treatment at hospital and treatment in primary care. A correlation between change in wound size and pro-inflammatory cytokines will also be made.
Detailed description
Subjects with chronic venous leg ulcers are treated 3 times a week in the hospital for 6 weeks with weekly sharp debridement. Wound size, pro-inflammatory cytokines, smears and photo are made weekly. The treatment countinue thereafter in primary care 3 times a week in 12 weeks. Wound size, pro-inflammatory cytokines, smears and photo are made every 14 day at the hospital.
Interventions
After use of local anestetics a sharp currette is used to debride slough and nonviable tissue from the ulcer surface until a healthy tissue is seen.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ulcus cruris venosoum * AAI \> 0.9 * age 18-80 * adress Oslo area * wound size 2.5-100 cm2 * wound duration \> 6 weeks.
Exclusion criteria
* Diabetes mellitus * Immunosuppresion * antibiotics \< 14 days * local antiseptic treatment \< 1 week * clinical infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Treatment of chronic leg ulcer in outpatient's department at hospital and in primary care - wound size and inflammation. | 01.08.10-01.08.13 | Wound size |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment of chronic leg ulcer in outpatient's department at hospital and in primary care - wound size and inflammation. | 01.08.10-01.08.13 | Pro-inflammatory cytokines |
Countries
Norway