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Four-layer compression bandages have long been standard care for venous leg ulcers, but they are bulky and require frequent professional attention. Newly developed two-layer compression hosiery delivers equivalent compression, is thinner, and can be self-applied by many patients. In the first direct comparison of these two compression systems, researchers in the U.K. randomized about 450 adults, each with at least one venous leg ulcer, to treatment with bandages or hosiery until patients were unable to continue their assigned treatments or until index ulcers healed. Patients were followed for as long as 1 year after randomization.
Median time to ulcer healing was 99 days for hosiery and 98 days for bandages; about 70% of index ulcers healed …