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. 2018 Sep 1;2018(9):CD012841. doi: 10.1002/14651858.CD012841.pub2

Litwiniuk 2012.

Methods Prospective cohort study
Setting: attending outpatient phlebology clinic
Country: Poland
Duration of follow‐up: 4 weeks
Treatments: all participants had amnion foetal membrane treatment (plus hydrocolloid and compression), shown to be an inhibitor of MMP activity (i.e. potential confounder)
Participants 25 participants with VLUs (CVLU; venous insufficiency aetiology, further confirmed by a duplex‐Doppler ultrasound examination)
Mean age: 76.3 (SD 12) years
Sex (M:F): 9:16
Stage of ulcer: C6 according to the CEAP classification
Wound infection: excluded if evident signs of infection (odorous, purulent exudates, wound necrosis and significant pain)
Number of wounds: not reported
Inclusion criteria: chronic wound (> 6 months); surface area 10‐100 cm²; delayed healing (healing rate < 10%/week) regardless of ≥ 2 weeks' treatment (screening period) of hydrocolloid dressing and effective compression
Exclusion criteria: evident signs of wound infection (odorous, purulent exudates, wound necrosis and significant pain), active DVT, leg ischaemia with ankle/brachial index < 0.8, poor tolerance of compression, pregnancy, diabetes and other systemic diseases (particularly significant heart insufficiency) in unstable stage and malignancy
Prognostic factors MMP‐2 (continuous data); activity (ng/mL). Measurement method quantitative gelatin/SDS zymography
Time of measurement: baseline and day 28
Wound fluid sampling method: not stated
Notes Limited data collection, no results. Risk of bias assessments available on request