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Compression to the lower extremities is used to increase healing of venous stasis ulcers by improving the blood supply and reducing edema and distension. Compression wraps are available in elastic or non-elastic and in single to multilayer systems requiring varying types of application and exerting different levels of compression. Elimination of edema is so basic and important to venous ulcer healing that the most effective level of compression should be used.
Controversy exists regarding the most effective sub-bandage pressure (ranging from 20 mm Hg to 45 mm Hg) for timely healing. Because of differences in compression leg wraps, selection of the most effective and efficient compression wrap can be difficult. The purpose of this integrated review was to determine healing rates of venous ulcers with various compression leg wraps.
Compression wraps are effective when used with correct assessment, application, and fit by the patient or caregiver, along with compliance and mobility of the patient.
BiaCare: CompreFit BK
The CompreFit is an all new, non-elastic lower extremity garment that provides 30-40 mmHg gradient compression. Easier to put on than elastic stockings with similar compression, the CompreFit promotes a high rate of compliance. Made from polyester and Velcro™ the CompreFit is lightweight, durable, and very comfortable. The CompreFit is available in beige or black, matching with the colors of most clothing.
The unique design offers up to 4 inches (10cm) of circumferential adjustability. The length can also be adjusted up to 1 inch (2.5cm). There are only five easy measurements to take to determine the optimal size. The interlocking and overlapping strap design makes it easy to achieve consistent, gradient compression.
The CompreFit is designed for daytime use for individuals with the following indications: lymphedema, post-surgical swelling, chronic venous insufficiency, and is effective in the treatment of venous stasis ulcers. Contraindications include severe arterial insufficiency, infections, and phlebitis. The consistent, gradient compression, combined with natural pumping action of the leg muscles during normal movement, provide a highly effective mode for edema reduction. The CompreFit is extremely durable and can be machine washed/dried. CompreFit is easy to apply.
The CompreFit costs less than other national brands offering similar compression and last longer than bandages. The CompreFit also saves hundreds of hours per year when compared to wrapping and rerolling bandages.
- Durable design
- Easy to adjust
- Effectively controls edema day and night
- Firm gradient overlapping bands 30-40 mmHg active compression
- Machine wash and dry
- Includes CompreBoot™ foot piece and pair of cotton stockings
CircAid Wrap: Juxta-Fit™
Clinically proven, inelastic, adjustable and thereby sustainable compression in the treatment of venous stasis ulcers. The Juxta-Lock™ (alternating) Band System allows for a quick and easy application and minimal adjustments that help maintain compression levels and comfortable fit. The linear stretch technology hugs the leg's contours, reduces slipping, and makes foam inserts virtually unnecessary.
Adjusting the bands of the garment to a firm and comfortable compression achieves therapeutic levels of gradient compression and can be worn 24 hours a day with the bands being slightly loosened for nighttime wear. The Juxta-Fit is specially designed to use varying bandwidths to control and assure gradient compression regardless of limb shape. The Whole Legging, Upper Legging, and Knee Piece are custom-made only, and can be combined to create six different garment options.
Whether you need a garment that covers from just above-the-knee, or to cover from below the knee up to the groin, the Juxta-Fit can do it. Each custom made garment can be designed to fit the contours of almost any leg and can accommodate a 20% circumference reduction in the limb and still fit comfortably.
- Cool, light-weight, Breathe-O-Prene® material
- Patented Juxta-Lock Band System for easy donning/removal
- Antimicrobial SilverTec lining
- Controlled-bandwidth gradient compression
- Limited linear stretch material hugs limb contour, reducing slippage
- 100% machine washable
- Standard and custom sizing
- 1-year Warranty
- 1 pair socks
- Physician's prescription is required
CircAid Wrap: Juxta Lite™
The CircAid Wrap Juxta-Lock™ (alternating) Band System allows for a quick and easy application and minimal adjustments that help maintain compression levels and comfortable fit. Linear stretch technology hugs the leg's contours, reduces slipping, and makes foam inserts virtually unnecessary.
Adjusting the bands of the garment to a firm and comfortable compression achieves therapeutic levels of gradient compression and can be worn 24 hours a day with the bands being slightly loosened for nighttime wear.
Easy alternative for those who lack strength or dexterity to use traditional compression stockings or bandages. Each Juxta Lite™ comes with one compression legging, BPS™ card, Comfort Compression Anklet™ or Juxta Lite™ Ankle-Foot CircAid Wrap
- Medicare Coded
- Adjustable assured compression levels (20-30, 30-40, 40-50mmHg)
- Cool, light weight, Breathe-O-Prene® material
- Patented Juxta-Lock ™ Band System for easy application
- Anti-odor SILVERtec™ lining
- Limited linear stretch material hugs limb
- Machine washable
- The standard legging is available in two standard lengths, 28cm and 33cm and in sizes ranging from Small to XXL with full calf options.
Farrow Wrap™ Classic, Lite & Liners
The Farrow Wrap™ provides unique compression for all patients, especially those who are not able to wear compression stockings. Short stretch technology is what makes the Farrow Wrap™ different. Short-stretch is a safe and effective technology. It enables lower resting compression levels and higher working compression levels. This type of compression mimics calf muscle pump action and helps to improve venous return. It provides more compression when needed and less when it's not.
Farrow Wrap is easy to get on and off. If the patient can reach the top of their foot, they can get the Farrow Wrap™ on and off. If the patient cannot, but has a family member or a friend that can reach their feet, they can easily get the Farrow Wrap™ on and off.
Farrow Wrap™ uses bands, so there is no dragging of material up and down a leg, which decreases the likelihood of tearing skin. Because the Farrow Wrap™ uses bands, it can also accommodate additional swelling without elevating the limb or visiting the doctor.
The Farrow Wrap™ resists rolling or sliding down the leg and so it will work on patients with hourglass-shaped legs providing reliable compression. If the patient has only leg edema, a knee-high Farrow Wrap™ is all he or she needs. The Farrow Wrap™ should last at least 6 months with the proper care, and may last longer.
Farrow Wrap Liners come in The Silver, Regular and Farrow Hybrid liners are all made with X-Static Silver and create an anti-microbial barrier, reducing the risk of infection and odor.
Key Features of Farrow Wrap Classic
- For patients with moderate-to-severe edema
- Stiffer composition provides greater control of edema
- No extra cost required should a patient require a custom-made Farrow Wrap Classic
- Provides 20-30 mmHg of pressure
Key Features of Farrow Wrap Lite
- For wound care patients and patients with mild-to-moderate edema
- Thin, cool and machine washable
- No extra cost required should a patient require a custom-made Farrow Wrap Lite.
- Provides 10-20 mmHg of pressure