Arterial Ulcers
Jenna Wishnew, MD, FACS
General Surgeon located in Richardson, TX
Arterial ulcer also known as ischemic ulcer occurs when there is inadequate perfusion or poor blood flow to the legs. This poor blood flow means there is insufficient delivery of oxygen and nutrient-rich blood to the lower extremities leading to tissue death and causing the area to form an open wound. This ulcer may also originate from minor scrapes or cuts which failed to heal due to the lack of blood supply. These ulcers often form on the outer side of the ankle, feet, heels, or toes. These ulcers are usually painful and have a punched out circular appearance.
CAUSES
- Peripheral arterial disease
RISK FACTORS
- Age > 65 due to reduced subcutaneous fat and capillary blood flow
- Diabetes
- Smoking
- High blood pressure
- High cholesterol
- Kidney failure
- Trauma
- Atherosclerosis, or thickening of the arteries
- Vasculitis
- Limited joint mobility
- Foot deformity
- Poor footwear
TREATMENT
- Lifestyle changes: stopping smoking, change of diet with limit on lipid and cholesterol, and control of blood sugar
- Surgical debridement (Hyperlinked)
- Chemical debridement (Hyperlinked)
- Skin substitute graft (Hyperlinked)
- Skin graft (Hyperlinked)
- Hyperbaric oxygen therapy (Hyperlinked)
- Surgical revascularization of a limb i.e. bypass or angioplasty
Featured Services
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Wound Caremore info
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Chronic Nauseamore info
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Swellingmore info
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Abscessmore info
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Pressure Ulcersmore info
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Deep Tissue Injurymore info
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Arterial Ulcersmore info
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Venous Ulcersmore info
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Diabetic Ulcermore info
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Surgical Woundmore info
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Trauma and Burn Injurymore info
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Pilonidal Cystsmore info
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Surgical Debridementmore info
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Chemical Debridementmore info
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Skin Substitute Graftmore info
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Skin Graftmore info
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Hyperbaric Oxygen Therapymore info