Venous Ulcer Treatment

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Side: inner right ankle demonstrating chronic inflammation and a venous ulcer before and after treatment

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This 45 year old male has a classic venous ulcer which is typically located just above the ankle on the inner portion of the leg. He was treated in a wound clinic for 6 months with failure to heal this wound. He was found on ultrasound to have severe venous reflux of the right great saphenous vein. In addition he had a refluxing perforator vein beneath the ulcer. Compression therapy was provided initially, followed by radiofrequency closure of the great saphenous vein, and ultrasound guided injection. The photo of the healed ulcer on the right was taken 8 weeks after the photo on the left.