A clinical study on chronic leg ulcers ulcers with various aetiolgical factors for the chronicity of leg ulcers-ulcers in trauma with infection.

Introduction: The first sign of an ulcer – area of thick callus. The floor of the ulcer may not be visable but the blood is a sure indication that the skin beneathhas broken. As the callus is trimmed away, evidence of cavitation or necrosis is seen and finally the extent of ulcer can be demonstated. Ulceration of the lower leg is Comon which may be due to injury and having a circulation strained by the wright posture of human being. There are many associations with chronic edema, induration, eczema of leg etc. inadequate vascular dynamics can be demonstration in ulcerated extremities. Materials & Methods: The study comprises 250 cases of ulcer admitted at Government General Hospital, Kakinada, E.G.Dt., AP.Taking patient history, physical and local examination were done . Blood and urine samples were collected for blood sugar lipid profile etc.Special investigation like x-ray venography arteriography, Doppler ultrasound, were done. Result: Study of sex incidence shows that preponderances of males over females . The treatment is only directed to controlling of infection & repeated dressing and they are usually of long duration. Conclusion: Lower and medial part of the leg is effected in 60% of cases. Mostly men are affected. Non specific ulcers were cured by local dressing and systemic antibiotics.