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

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

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

Individualized patient care
moderate and strong

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

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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