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22 JCN
Supplement 2016
LEG ULCER RECURRENCE
Due to a lack of consistent
compression, Andrew experienced a
recurrence of his leg ulceration. After
discussion with Andrew and his wife,
the author demonstrated the juxtalite
garment, which Andrew’s wife found
much easier to apply and adjust. She
was also confident that she would not
harmAndrew by applying too much
compression as the BPS allowed her
to check the levels.
Andrew’s oedema subsequently
became very well controlled and he
has remained healed for the past
18 months (
Figures 3
and
4
). As a
testimony to the garment, he referred
to it as his‘miracle treatment’and
it has become an effective — and
essential — part of his daily regimen.
Case 3
Amy was a 55-year-old woman who
had become obese and developed
chronic oedema in her legs. Because
of this, she had experienced several
episodes of leg ulcer recurrence over
the past few years. Amy was very
vocal regarding which treatments she
would or would not accept and felt
that her venous leg ulceration would
never heal — as a result, she had lost
faith in the healthcare system. She
was horrified when she was shown a
compression bandage and stated that
someone of her age should not be
made to look like‘Nora Batty’.
The option of compression hosiery
was discussed with Amy, but she
did not like the thought of wearing
hosiery and felt the garments were
no better than bandages. The author
decided to demonstrate a juxtafit
garment, however, which showed
Amy how she could be actively
involved in her own treatment
and was finding it increasingly difficult
to apply the hosiery due to lack of
strength in her wrists; as a result, it
was only applied sporadically.
she has remained healed using this
device for the past two years.
Case 2
Andrew was a 72-year-old man
with atrial fibrillation and chronic
obstructive pulmonary disease
(COPD). He presented to the author’s
leg ulcer service with oedema and
superficial leg ulceration, although his
ankle-brachial pressure index (ABPI)
was within normal limits.
Once the superficial ulceration was
healed, class 1 compression hosiery
was prescribed. However, Andrew was
unable to apply it due to his COPD
and relied on his wife to help him.
Unfortunately, his wife had arthritis
THE SCIENCE — THE FULL JUXTA RANGE?
juxta
™
(medi UK) compression devices are
easy to apply and can be mastered by any
individual with minimal training. They
all have a built-in pressure system (BPS)
so that the level of compression can be
measured to ensure accurate application
and consistent pressures (Lawrence, 2014).
MX[WDÀW /RZHU /HJJLQJ
™
The juxtafit Lower Legging is an inelastic,
adjustable compression garment for the
management of lymphoedema or chronic
oedema and is available in two lengths
— petite (28cm) and standard (36cm) — and five sizes, ranging from
small to XXL. It is made from a special breathable fabric for a flexible and
comfortable fit and is also latex-free. Evidence shows that using juxtafit can
be more effective in reducing limb volume when compared to an inelastic
multicomponent compression bandage (Damstra and Partsch, 2013).
MX[WDFXUHV
™
juxtacures is an instantly readjustable device for the healing of venous leg
ulcers and is available in three lengths: short (28cm); standard (33cm);
and long (38cm). It has a detachable ‘spine’ that enables the garment to be
bespoke for each patient. AdjustableVelcro compression devices such as
juxtacures have been proven to be more effective than inelastic bandages
at reducing venous oedema and maintaining a precise and consistent
measurable therapeutic level of compression (Mosti et al, 2015).
MX[WDOLWH
™
juxtalite is an instantly adjustableVelcro device suitable for maintenance
of all venous conditions and specifically for patients who have healed leg
ulcers or venous disease; cannot tolerate or apply compression garments;
have fragile skin; musculoskeletal disorders or other comorbidities;
or who experience problems with elastic compression. juxtalite uses a
built-in pressure system to apply the individual’s recommended level of
compression (from 20–50 mmHg) as prescribed.
Figure 3.
One of Andrew’s legs before the
application of the juxtalite system.
Figure 4.
Andrew’s leg following application of
juxtalite (before the comfort compression
sock had been applied).