Rf13.3 The Use Of Planimetric Measurement Of Calf Ulceration As Research And Diagnostic Method In General Practitioner’S Daily Practice

Author(s): 
W. Drzastwa, W. Lukas, E. Mizgala, J. Jó´zwiak
Department of Family Medicine, Zabrze, Poland
Text: 
Objective.
The assessment of planimetric method of affected area measurement in family doctor’s daily practice.
Materials and Methods.
The measurement of calf ulceration area is a diagnostic method used in daily practice for the evaluation of ulceration-related and other wounds healing. The method consists in defining the ulceration area by transferring the contours of the wound onto a model with an appropriate scale and using mathematics formulae for calculating the surface area of geometric figures. Among the parameters describing ulceration healing the most frequently mentioned are: complete healing and initial or temporary healing rate. Gilman’s equation is used, where the change of ulceration area is corrected by its circumference. Patients that were qualified for the study were those with calf ulceration who underwent conservative treatment prescribed by general practitioners and were supervised by specialists. Measurements of calf ulceration were taken from 60 patients at intervals, on average every 8 weeks. Changes in ulceration area were observed during follow-up visits over the period of 6 months.
Results.
Ulceration area of 42 patients (70%) decreased, 14 (23%) patients showed no change in wound area whereas measurements of the remaining 4 (7%) showed an increase in wound area.
Conclusion.
The planimetry method of calf ulceration area may constitute a simple and cheap method for treatment planning and an objective assessment of treatment effectiveness. Comparing the current wound area with that showed in previous measurements enables a general practitioner to assess wound changes over time.
Literature: 
RF13.3 THE USE OF PLANIMETRIC MEASUREMENT OF CALF ULCERATION AS RESEARCH AND DIAGNOSTIC METHOD IN GENERAL PRACTITIONER’S DAILY PRACTICE