Leg Ulcers

Leg ulcers are common in older adults and a serious problem. Underlying conditions that increase risk include age-related increases in chronic venous insufficiency, peripheral artery disease, connective tissue and autoimmune conditions, reduced mobility, and diabetes mellitus. Geriatric patients have a higher risk of wound-related complications including infection, cellulitis, ischemia, and gangrene, with possible need for amputation, negatively impacting quality of life and function. Understanding and early identification of the underlying conditions and wound features are crucial for effective ulcer healing and complication mitigation. This chapter provides a focus on three major types of leg ulcers, venous, arterial, and neuropathic, including evaluation and potential new treatments.