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Treatment
3 layer paste bandages were more effective than 4 layer bandages for healing venous leg ulcers

https://doi.org/10.1136/ebn.7.1.21

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    Meyer FJ, McGuinness CL, Lagattolla NR, et al. Randomized clinical trial of three-layer paste and four-layer bandages for venous leg ulcers. Br J Surg 2003;90:934–40.OpenUrlCrossRefPubMedWeb of Science

    Q Are 3 layer paste bandages as effective as 4 layer bandages for healing of venous leg ulcers?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}*.

    Embedded ImageBlinding:

    unblinded.

    Embedded ImageFollow up period:

    1 year.

    Embedded ImageSetting:

    a hospital leg ulcer outpatient clinic in London, UK.

    Embedded ImagePatients:

    133 patients (56% men) with venous leg ulcers. Exclusion criteria: arterial disease, diabetes mellitus, rheumatoid arthritis or systemic lupus erythematosus, positive sickle cell test, HIV infection, ulcer area <0.25 cm2 or >100 cm2, known sensitivity to paste, or ulcer not of venous aetiology.

    Embedded ImageInterventions:

    3 layer paste bandages (a Steripaste® hypoallergenic paste bandage, a Setopress® compression bandage, and a Tubigrip® bandage to hold everything in place) (n = 64) or 4 layer bandages (Velband® orthopaedic wool, a crepe bandage, an Elset® compression bandage, …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: Professor K Burnand, Department of Academic Surgery, St Thomas’ Hospital, London, UK. kevin.burnandkcl.ac.uk

    • Source of funding: in part, SSL International.