Etiology and management of leg ulcers - An enigma

Chronic leg ulcer is defined as a defect in the skin below the level of knee persisting for more than six weeks and shows no tendency to heal after three or more months. leg ulcers are debilitating and greatly reduce patients' quality of life. the common causes are venous disease,arterial disease and neuropathy. management of patients with chronic ulcers has to be multidisciplinary and should include detailed history,physical examination,investigations,basic and newer treatment modalities,and educating patients on issues of correct foot care and the importance of seeking early medical advice.