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To treat chronic ulcers of the leg effectively requires patience, understanding, and time. Dr. Menendez treated 652 chronic leg ulcers at the Charity Hospital of Louisiana, at New Orleans, with the satisfaction that 584 of them healed. He describes three main causes of ulceration as a combination of edema and trauma, an incompetent perforating vein, and arterial insufficiency. The edema must be dispersed and the harmful effects of pressure from an incompetent perforating vein minimized by an adequate external support. Support is provided to a swollen leg by an elastic bandage or to an edema-free leg by a plaster-of-paris cast.
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Ulcers of the Leg: Cause and Treatment.. Ann Intern Med. 1967;66:1304–1305. doi: 10.7326/0003-4819-66-6-1304_2
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Published: Ann Intern Med. 1967;66(6):1304-1305.
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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