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Unnas Boot

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1. Systematic review assessment in the use of unna boot in the treatment of chronic leg ulcers in adults

Systematic review assessment in the use of unna boot in the treatment of chronic leg ulcers in adults Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

2. Superficial granulomatous pyoderma of the leg improved after conservative management with Unna boot and intralesional steroid injections (Full text)

Superficial granulomatous pyoderma of the leg improved after conservative management with Unna boot and intralesional steroid injections 30246130 2019 02 26 2352-5126 4 8 2018 Sep JAAD case reports JAAD Case Rep Superficial granulomatous pyoderma of the leg improved after conservative management with Unna boot and intralesional steroid injections. 797-799 10.1016/j.jdcr.2018.03.020 Milam Emily C EC The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New

2018 JAAD Case Reports PubMed

3. Unna's Boot

Unna's Boot Unnas Boot Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Unna's Boot Unna's Boot Aka: Unna's Boot , Unna Boot , Unna's (...) Paste Boot , Dome-paste bandage , Gelocast Bandage II. History After Paul Gerson Unna, German dermatologist 1850-1929 III. Indications Refractory with venous insuffiency or atrophy Localized IV. Mechanism Prevents edema development Medication impregnated dressing paste Calamine lotion Gelatin V. Technique Reduce local edema before boot application Patient prepares leg at home on boot application day Ulcer covered with bandage Ace bandage applied firmly from foot to knee Leg prepared for Unna Boot

2018 FP Notebook

4. A study of the Unna Boot compared with the elastic bandage in venous ulcers: a randomized clinical trial. (Full text)

A study of the Unna Boot compared with the elastic bandage in venous ulcers: a randomized clinical trial. to analyze the process of tissue repair in patients with venous ulcers using inelastic compression therapy (the Unna Boot), in comparison with the use of the elastic bandage.a controlled randomized clinical trial in which the patients (n=18) were allocated to two groups, those who used the Unna Boot (group B) and those who used the elastic bandage (group A). The study's follow-up period (...) was 13 weeks.a significant reduction took place, at the level of 5%, in the area, in square centimeters, of the ulcers of group B (p<0.0001) throughout the treatment, and there was a tendency of group A for reduction in the area of the ulcer, in centimeters squared (p=0.06), only after the fifth week.the treatment with the Unna Boot presented better results in venous ulcers with areas over 10cm², and the elastic bandage with Petrolatum® gauze in venous ulcers below 10cm². Brazilian Clinical Trials

2015 Revista latino-americana de enfermagem PubMed

5. Unna's Boot

Unna's Boot Unnas Boot Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Unna's Boot Unna's Boot Aka: Unna's Boot , Unna Boot , Unna's (...) Paste Boot , Dome-paste bandage , Gelocast Bandage II. History After Paul Gerson Unna, German dermatologist 1850-1929 III. Indications Refractory with venous insuffiency or atrophy Localized IV. Mechanism Prevents edema development Medication impregnated dressing paste Calamine lotion Gelatin V. Technique Reduce local edema before boot application Patient prepares leg at home on boot application day Ulcer covered with bandage Ace bandage applied firmly from foot to knee Leg prepared for Unna Boot

2015 FP Notebook

6. Circulator boot for lower limb vascular insufficiency

of studies have been conducted successfully. For now, the available evidence is insufficient to permit conclusions regarding the relative effectiveness of the Circulator Boot™ as a treatment option for CVI. Treatment of CVI and ulcers. Compression therapy has become standard treatment for CVI, despite lacking sufficient evidence regarding the optimal strategy. Compression therapy includes bandages, stockings, Unna boots and various IPC devices. Ambulation, limb elevation and anticoagulants (in high risk (...) Circulator boot for lower limb vascular insufficiency Circulator boot for lower limb vascular insufficiency Circulator boot for lower limb vascular insufficiency Adams E Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Adams E. Circulator boot for lower limb vascular insufficiency. Boston: VA Technology Assessment Program (VATAP). 2009

2009 Health Technology Assessment (HTA) Database.

8. CelluTome Epidermal Harvesting System for the treatment of acute or chronic wounds

wounds had been present from several weeks to over a year (mean of 95.7 days), and had failed to close despite the application of a variety of treatment methods, including autolytic debridement, hydrogels, collagenase, antimicrobial dressings, alginate dressings, collagen dressings, cellulose dressings, extracellular matrix scaffolds, collagen scaffolds, skin substitutes, and Unna boot. Reported outcomes were 82.4% (28/34) of wounds were healed, 2.9% (1/34) wounds showed improved healing, 11.8% (4/34

2016 COAG Health Council - Horizon Scanning Technology Briefs

9. Coban 2 for venous leg ulcers

using routinely collected NHS data. In 1 RCT (Moffatt et al. 2008), there was no significant difference in wound healing between Coban 2 and Profore, but Coban 2 performed better in slipping, health-related quality of life and patient preference. The second RCT (Mosti et al. 2011) was done in Italy and compares Coban 2 with the Unna boot, which is not routinely used in the NHS. Coban 2 slipped more but there were no significant differences in wound healing, pain or patient comfort. The observational (...) appointments until full wound closure. Location: Italy. Intervention and comparator(s) Coban 2 (50 people) and Unna boot (50 people). Key outcomes Primary outcome: No significant difference in wound healing, pain or exudate. Secondary outcome: No significant difference in patient comfort between the 2 devices. Bandage slip and skin scaling happened significantly more often with Coban 2 than with Unna boot (11 versus 5 for slip and 21 versus 7 for skin scaling). The authors reported that Coban 2 is easier

2018 National Institute for Health and Clinical Excellence - Advice

11. The Postthrombotic Syndrome: Evidence-Based Prevention, Diagnosis, and Treatment Strategies

–10 d 30–40 mm Hg Up to 5 PTS by Villalta scale Aschwanden et al, 2008 84 Stockings, 85 no stockings No 6 mo 26–36 mm Hg knee-high Up to 7 Skin changes (CEAP ≥4) Partsch et al, 2004 18 Stockings plus walking, 18 Unna boot plus walking, 17 bed rest No At admission 30 mm Hg thigh-length 2 PTS by Villalta scale Kahn et al, 2014 410 Active stockings, 396 placebo stockings Double-blinded 5–6 d 30–40 mm Hg knee-high Up to 2 Daily pain and swelling CEAP indicates clinical, etiological, anatomic (...) 6 months or late initiation of stockings is not of benefit to reduce the incidence of PTS. Partsch et al compared early ambulation in combination with compression stockings (n=18) or Unna boots (n=18) with bed rest and no compression (n=17) in patients with acute DVT. All patients wore ECS for at least the first year of follow-up. At 2 years, the 2 early ambulation groups had lower Villalta scores than the bedrest group, and were more likely to be PTS-free (12/26 vs 2/11, respectively). Given

2014 American Heart Association

12. Advanced Wound Care Therapies for Non-Healing Diabetic, Venous, and Arterial Ulcers

) Intermittent Pneumatic Compression Therapy (1 RCT) One fair quality RCT (n=54 randomized) compared intermittent pneumatic compression (IPC) therapy to compression bandaging (Unna’s boot). There was no significant difference between IPC and Unna’s boot in the percentage of ulcers healed by study completion (71% versus 60%) or pain/discomfort. There were no significant differences between the number of withdrawals due to adverse events or allergic reactions to treatment. An analysis of ulcer healing by ulcer (...) Percentage of ulcers healed 1 (86) One three-armed trial of fair quality trial found silver more effective than tri-peptide copper cream but not placebo. Low Mean time to ulcer healing Outcome not reported. Insufficient Intermittent Pneumatic Compression (IPC) Unna’s boot dressing Percentage of ulcers healed 1 (53) One fair quality trial found no significant difference between groups. Low Mean time to ulcer healing Outcome not reported. Insufficient Electromagnetic Therapy (EMT) Sham Percentage of ulcers

2012 Veterans Affairs Evidence-based Synthesis Program Reports

14. Lymphedema in Klippel-Trenaunay Syndrome: Is It Possible to Normalize? (Full text)

, with massive lymphedema, a leg ulcer, and recurrent infections, she started treatment at the Clínica Godoy in São José do Rio Preto. She was evaluated by clinical history, physical examination, water displacement volumetry, and bioimpedance. Intensive therapy (8 hours daily) was proposed using Manual Lymphatic Therapy (Godoy & Godoy), Cervical Stimulation Therapy, Mechanical Lymphatic Therapy, a grosgrain stocking adjusted several times a day, and the use of Unna boot in the region of the ulcer. The volume

2016 Case reports in vascular medicine PubMed

15. Effects of weekly LED therapy at 625 nm on the treatment of chronic lower ulcers. (PubMed)

Effects of weekly LED therapy at 625 nm on the treatment of chronic lower ulcers. The aim of this study was to evaluate the effects of LED therapy associated with compression therapy on chronic venous leg ulcers (CVUs). The study included CVU patients (n = 17, eight men) who were eligible for Unna's boot treatment. Ulcers were treated on a weekly basis with either LED therapy (625 nm, 4 J/cm(2)) and an Unna's boot (LED ulcers, n = 14) or a placebo treatment and an Unna's boot (control ulcers, n (...) (P < 0.05, Mann-Whitney U Test). No differences in median healing rate were observed (hazard ratio 0.89, CI 95%: 0.40-1.98) between LED (15 weeks) and control ulcers (19.5 weeks). No differences in TNF-α levels were detected (P > 0.05, Mann-Whitney U test). The results suggest that LED therapy improved the effectiveness of the Unna's boot since no refractory ulcer was observed in the LED group after 19 weeks. However, LED therapy did not alter the local secretion of TNF-α nor accelerate wound

2015 Lasers in medical science

16. Comparison Between a New, Two-component Compression System With Zinc Paste Bandages for Leg Ulcer Healing: A Prospective, Multicenter, Randomized, Controlled Trial Monitoring Sub-bandage Pressures. (PubMed)

Comparison Between a New, Two-component Compression System With Zinc Paste Bandages for Leg Ulcer Healing: A Prospective, Multicenter, Randomized, Controlled Trial Monitoring Sub-bandage Pressures. Compression therapy is standard treatment for venous leg ulcers. The authors prefer multi-layer, multi-component, stiff, high-pressure bandages to treat venous leg ulcers. The Unna boot (UB) is an example of this type of bandage. The aim of this study was to compare the effectiveness

2015 Wounds : a compendium of clinical research and practice

17. Clinical Implications of Genetic Variations of Venous Stasis Ulceration

Investigators Layout table for investigator information Principal Investigator: Rabih Chaer, MD UPMC/UPP Vascular Surgery More Information Go to Layout table for additonal information Responsible Party: Rabih A. Chaer, MD, University of Pittsburgh ClinicalTrials.gov Identifier: Other Study ID Numbers: PRO10120155 First Posted: January 13, 2014 Last Update Posted: January 9, 2019 Last Verified: January 2019 Keywords provided by Rabih A. Chaer, University of Pittsburgh: Ulcers, venous, unna's boot Additional

2014 Clinical Trials

18. Iliac Vein Stenting in Advanced Chronic Venous Insufficiency

Procedure: Unna boot dressing Phase 4 Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Actual Enrollment : 50 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double (Participant, Outcomes Assessor) Primary Purpose: Treatment Official Title: Randomized Double-blind Trial Between Clinical and Endovascular Treatment in Patients With Advanced Chronic Venous Insufficiency and Iliac Venous Obstruction Study Start Date (...) : February 2013 Actual Primary Completion Date : July 2014 Actual Study Completion Date : July 2014 Resource links provided by the National Library of Medicine resources: Arms and Interventions Go to Arm Intervention/treatment Active Comparator: Clinical Treatment Phlebotonics: Aminaftone 75 mg BID Limb elastic compression support (Elastic stockings: Venosan / Elastic Bandages: Atamed) Unna boot dressing Drug: Phlebotonic Aminaftone -- 75 mg BID Other Name: Aminaftone Procedure: Limb elastic compression

2014 Clinical Trials

19. A comparative clinical study on five types of compression therapy in patients with venous leg ulcers. (Full text)

A comparative clinical study on five types of compression therapy in patients with venous leg ulcers. The aim of this study was to compare five types of compression therapy in venous leg ulcers (intermittent pneumatic vs. stockings vs. multi layer vs. two layer short stretch bandages vs. Unna boots). Primary study endpoints were analysis of changes of the total ulcer surface area, volume and linear dimensions inside observed groups. The secondary end points were comparisons between all groups (...) patients. Significantly much worse rate found in group D (two layer short stretch bandages) - only 16.66%, 5/30 patients and E (Unna boots) - 20%, 6/30 patients. The analysis of changes of the percentage of Gilman index and wound total surface area confirmed that intermittent pneumatic compression, stockings and multi layer bandages are the most efficient. The two layer short - stretch bandages and Unna boots appeared again much less effective.

2014 International journal of medical sciences PubMed

20. Skin, Grafts

. For skin grafts to the lower extremity, an Unna boot dressing may be applied, as it performs the necessary action of maintaining graft integrity but also allows for early mobilization. [ ] Alternatively, negative pressure dressings (vacuum-assisted closure [VAC]) prevent shearing forces and reduce fluid collection between the graft and recipient bed, thereby facilitating plasmatic imbibition and revascularization, leading to a significant improvement in overall split-thickness skin graft survival (...) Surg . 2008. 19:1056-60. . Vandeput J, Nelissen M, Tanner JC, et al. A review of skin meshers. Burns . 1995 Aug. 21(5):364-70. . Taghizadeh R, Gilbert PM. Comparison of commonly used mesher types in burns surgery revisited. Burns . 2008 Feb. 34(1):109-10. . Cox GW, Griswold JA. Outpatient skin grafting of extremity burn wounds with the use of Unna Boot compression dressings. J Burn Care Rehabil . 1993 Jul-Aug. 14(4):455-7. . Schneider AM, Morykwas MJ, Argenta LC. A new and reliable method

2014 eMedicine Surgery

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