
Venous leg ulcers
Compression therapy in cases
of advanced vein problems
Low cost – high efficiency
A venous leg ulcer (ulcus cruris venosum = UCV) is a wound that does not heal well or not at all. It usually occurs in the lower third of the lower leg, around the lateral or medial malleolus in particular. The cause of UCV is increased pressure in the veins because of malfunctioning venous valves. This venous hypertension in the lower extremities also increases pressure in the capillary cutaneous vessels, damaging them irreversibly. The condition of the vascular walls also changes, meaning that advanced chronic venous insufficiency (CVI) results in the infiltration of immune cells and proinflammatory cytokines. In the long term, these circumstances will lead to an insufficient supply to the skin cells and impaired wound healing.
The Bonn Vein Study shows: 0.7% of the German population is suffering from active or healed venous leg ulcers.2

Compression therapy is essential in treating venous leg ulcers. Following decongestion of the edema, the Guidelines1 recommend ulcus stocking systems, such as the VenoTrain ulcertec. The special feature of the overstocking (AD) is the rhomboid knit specifically developed by Bauerfeind. When stretched in a transverse direction, it allows easy, pain-free donning and doffing of the product. When stretched in a longitudinal direction, the contact pressure increases immediately to ensure ideal effectiveness.
The liner made of skin-friendly material is available as a knee-high stocking (AD) or as a thigh-high stocking (AG). It can be washed at 95 °C. The AG version is recommended when patients also suffer from varicose veins and a tendency to edema formation on the thigh.
Treatment using the VenoTrain ulcertec two-component system increases the flow speed of blood in the veins and reduces both venous reflux as well as excessive pressure on the vascular system – this will support wound healing.3
Studies show:
- the VenoTrain ulcertec has a much higher healing rate compared to a phlebological compression bandage. The assessment carried out by patients and care staff proved increased wearing comfort, improved treatment effects, and less time needed for donning and doffing of the VenoTrain ulcertec3.
- Ambulatory hypertension refers to the increase in capillary blood pressure when walking. In later stages of CVI, this will result in damage to the capillaries that supply the skin. Suitable compression, i.e. a contact pressure of 40 mmHg as provided by the VenoTrain ulcertec, is able to significantly reduce such hypertension4.
- The VenoTrain ulcertec with a thigh-high liner significantly contributes to the effectiveness of the treatment, thanks to substantial reduction in thigh volume. A negative impact on wearing comfort was not detected5.
“The special feature of the VenoTrain ulcertec lies in the knitted fabric of the overstocking. This makes donning of the product easier, but due to its short-stretch character it exerts greater contact pressure on the leg, especially during movement (working pressure). Thus, a higher healing rate can be achieved than when using conventional compression stockings or short-stretch compression bandages2.”

Univ.-Prof. Dr. med. Michael Jünger,
(former Director of the
Dermatology Clinic and Polyclinic at Greifswald University Hospital)
Individualized patient care
moderate and strong
VenoTrain® ulcertec
Specialist compression product in cases of venous leg ulcers
The VenoTrain ulcertec is a two-component system with two different strengths as well as knee-high or thigh-high liners.
Donning of the product is easy even without help, and the system offers a high degree of wearing comfort as well as hygiene. The liners are also ideal for providing a low level of compression during the night. They are available to order in a pack of three and are suitable for washing at high temperatures.
Indications:
AD-Version:
- Active venous leg ulcer (CEAP stage 6)
- Prevention of recurring venous leg ulcers (CEAP stage 5)
Additionally for the AG version:
- Active venous leg ulcer with edema/tendency to edema formation on the thigh
- Venous leg ulcer with varicose veins in the thigh
- Post-thrombotic syndrome on more than one level (pelvis and/or thigh and/or lower leg)
VenoTrain® ulcertec 39 – MODERATE
- Compression class 3 (34 – 46 mmHg), liner with gentle compression providing compressive pressure in the lower range of compression class 3 in combination with the overstocking
- Lightweight liner for patients who need compression at night
VenoTrain® ulcertec 46 – STRONG
- Compression class 3 (34 – 46 mmHg), liner with moderate compression providing compressive pressure in the upper range of compression class 3 in combination with the overstocking
- Liner with moderate compression given patient wearing tolerance and a good acceptance level of compression garments at night; recommended for venous ulcers with a poor tendency to heal

VLU treatment is highly complex. In addition to compression as a basic treatment, there are several other therapy components. The perfect interaction of all the components will ensure successful treatment. For detailed information, please see the VenoTrain ulcertec Brochure for Physicians in our download area.
Prevention of recurrence
Compression therapy after venous leg ulcers have healed
Without appropriate countermeasures, about one in three patients will suffer from recurrence within the first year after the VLU has healed. Patients with venous ulcers and with combined venous and arterial circulatory disorders are particularly at risk.
VenoTrain® impuls
Powerful support for particularly weak veins
The VenoTrain impuls produces a particularly deep action by exerting high working pressure with even the slightest muscle movements. Thanks to its microfiber content, it provides powerful support and a high level of wearing comfort at the same time. It is breathable and easy to put on. In cases of advanced vein problems, post-thrombotic syndrome, for follow-up care in cases of healed ulcers and treatment of early-stage lymphedema (0 – 1).6
1 S2k Guidelines for the Diagnosis and Treatment of Venous Leg Ulcers German Society of Phlebology and Lymphology e.V. 2024 Available from: https://register.awmf.org/de/leitlinien/detail/037-009.
2 Bonn Vein Study conducted by the Germany Society of Phlebology (Phlebologie 1/2003; 32: 1-14).
3 Jünger M, Wollina U, Kohnen R, Rabe E. Efficacy and tolerability of an ulcer compression stocking for therapy of chronic venous ulcer compared with a below knee compression bandage: results from a prospective randomized multicentre trial. Curr Med Res Opin 2004;20:1613-1624. https://www.tandfonline.com/doi/abs/10.1185/030079904X4086
4 Oelert, A., Kittel, M., Hahn, M., Haase, H., & Juenger, M. (2018). Medical compression stockings reduce hypertension of nailfold capillaries at the toe of patients with chronic venous insufficiency. Clinical hemorheology and microcirculation, 69(1 – 2), 115 – 121. https://content.iospress.com/articles/clinical-hemorheology-and-microcirculation/ch189122
5 Konschake, W., Riebe, H., Pediaditi, P., Haase, H., Jünger, M., & Lutze, S. (2016). Compression in the treatment of chronic venous insufficiency: Efficacy depending on the length of the stocking. Clinical hemorheology and microcirculation, 64(3), 425 – 434. https://content.iospress.com/articles/clinical-hemorheology-and-microcirculation/ch168122
6 For a complete list of all indications, please see the VenoTrain instructions for use.
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