This paper provides a comprehensive review of the evidence on the outcomes from the use of compression bandaging in treating venous leg ulcers. It shows that after two years about 20% of ulcers will not heal despite being treated with high compression. The paper then reviews the evidence on risk factors for non-healing venous leg ulcers and compares continuing treatment costs with the cost of second-line therapies. It highlights the need for health professionals to raise their awareness of effective options for improved treatment for hard-to-heal venous leg ulcers
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