Surgical management of leg ulcers.

Before an ulcer is treated, a systemic work-up should be pursued to find the etiology. Treatment should be instituted to prevent more ulcers from occurring. However, once an ulcer has formed, good medical management is usually sufficient to heal an ulcer and prevent others from occurring. If the ulcer persists despite adequate medical treatment, then pinch grafting or split-thickness grafting are relatively simple techniques with good success rates.