Inclusion criteria | Exclusion criteria |
---|---|
General: | General: |
≥ 30 years of age | Patients taking immunosuppressive medications |
Able to provide informed consent | Known allergy to ulcer dressing products |
Ulcers present for greater than 1 month | Pre-existing ulcer pain preventing either type of debridement |
Ulcers ≥ 1 cm2 |  |
Vascular: | Vascular: |
Palpable pedal pulses OR biphasic or triphasic pedal pulses on doppler OR toe pressure ≥ 45 mmHg | Non-palpable pedal pulses OR monophasic pedal pulses on Doppler OR toe pressure ≤ 45 mmHg |
Ulcer classification: | Ulcer Classification: |
Infected ulcers being appropriately managed | Dry gangrenous ulcer |
Those meeting The University of Texas Wound classification criteria[28]: | Fungating ulcers |
A1, A2, A3 (wounds of varying depth without infection or ischaemia) | Malignant ulcers |
B1, B2, B3 (wounds of varying depth with infection only) | Those meeting the University of Texas wound classification criteria[28]: |
 | A0, B0, C0, D0 (pre or post-ulcerative lesion with complete epithelialisation, with or without infection and ischaemia) |
C1, C2, C3 (wounds of varying depth with ischaemia only) | |
 | D1, D2, D3 (wound of varying depth with infection and ischaemia) |