Several studies have suggested that the endogenous electric field and its polarity stimulate the proliferation and migration of epithelial cells and therefore promote wound healing. WoundEL® will reproduce the endogenous electrical current to stimulate all the factors contributing to healing. Electrostimulation of wounds, including the WoundEL® device, is a therapy listed but not yet reimbursed in France. The aim of this study is to show that the WoundEL® electrostimulation device is superior to the reference treatments recognized by the HAS.
Patients with a leg ulcer will be randomized to the "usual treatment" or "WoundEL" group. The progress of the leg ulcer will be monitored every 2 weeks for 8 weeks or sooner if wound healing occurs. All leg ulcers will be examined at 10 weeks to check for healing or the condition of the leg ulcer if it has not healed. A third-blind party will also assess the ulcer condition at 10 weeks, based on standardized photographs. The consumption of analgesics, pain and quality of life will be compared in the 2 groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
22
The WoundEl system is composed by: a class IIa device , a class IIb dressing electrode and a class I disperser electrode. Applied to the leg ulcer, WoundEL® reproduces the endogenous electrical current to stimulate all the factors contributing to healing. Electrical current is evenly spread over the Dressing Electrode which also maintains a moist wound healing environment.
Cleaning and monitoring
Centre Hospitalier Du Mans
Le Mans, France
Rate of healed-leg ulcers
Complete wound-healing correspond to 100% epithelialization of the leg ulcer, without persistent erosion or crusting. Complete healing of ulcers will be observed by the investigator and assessed by a third-blind.
Time frame: At week 8
Assessing the leg ulcer-related pain
Visual Analogic Scale
Time frame: At weeks 0,2, 4, 6, 8
Assessing the analgesic consumption
Patient reported-consumption of painkillers
Time frame: At weeks 0,2, 4, 6, 8
Assessing the quality of life
EuroQol (EQ5-D) questionnaire
Time frame: At weeks 0,2, 4, 6, 8
Assessing the leg ulcer healing stage
Area measurement, periwound skin aspect, local signs of infection, antibiotic rescue
Time frame: At weeks 0,2, 4, 6, 8, 10
WoundEL system security
Adverse reactions, dysfunctions
Time frame: At weeks 0,2, 4, 6, 8
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