Updating on understanding and managing chronic wound


  • Conflict of interest: The authors have no conflict of interest.

Address correspondence and reprint requests to: Vickie R. Driver, MS, DPM, FACFAS, Section Chief, Podiatric Surgery, Director, Limb Preservation Research and Fellowship Program, VA New England Health Care Division, bldg. 32, 830 Chalkstone Ave. Providence, RI 02908, or email: drvdriver@aol.com.


The art of healing wounds is quite complex. It requires the patient's local condition in conjunction with their systemic condition to provide the most ideal wound environment. As wound care is expanding with advances in technology, we are facing a variety of different wound care products based on an assortment of bioengineered skin substances, growth factors, oxygen therapies, low frequency ultrasound and even low energy light. While these emerging evidence-based treatments prove to be promising in improving clinical outcomes and quality of life, it challenges providers to provide cost-effective treatment plans. The goal of this paper is to introduce a discussion regarding practical clinical application of various forms of advanced wound technologies in order to optimize the art of wound healing.