Background The relationship between deep and superficial venous reflux
and healing of venous ulceration by non-operative compression therapy
has not been studied previously. Methods A total of 155 patients with
chronic venous ulcers underwent duplex ultrasonography before treatme
nt with compression bandaging at a hospital-based venous clinic. Resul
ts At 24 weeks, 104 (67 per cent) of ulcers had healed. There was no s
ignificant difference in the pattern of either deep or superficial ven
ous reflux between healed and non-healed ulcers except with respect to
the popliteal vein. In healed ulcers, 39 scans (38 per cent) indicate
d competence of the above-knee popliteal vein compared with five (10 p
er cent) in the non-healing group (P < 0.001, chi(2) test). Similarly,
43 scans (42 per cent) showed below-knee popliteal vein competence in
the healed ulcers compared with only five (10 per cent) performed in
legs remaining ulcerated (P < 0.001, chi(2) test). Conclusion Poplitea
l vein incompetence is an indicator of poor response to compression th
erapy for venous ulceration.