CHRONIC WOUND MANAGEMENT – TRADITIONAL AND CONTEMPORARY THERAPEUTIC APPROACHES
DOI:
https://doi.org/10.31435/ijitss.1(49).2026.4662Keywords:
Chronic Wounds, Debridement, Advanced Dressings, Smart Dressings, Negative Pressure Wound Therapy, Bioengineered Matrices, Infection Management, EWMA, NICEAbstract
Chronic wounds are a significant clinical and socioeconomic burden, causing major health concerns and associated costs in terms of quality of life. Conventional solutions like debridement, gauze dressings, systemic antibiotics and offloading continue to be widely used due to their accessibility and low cost, although they may not be adequate for advanced or long-standing cases. This manuscript reviews and contrasts traditional and novel management techniques in chronic wound care. Advanced dressings providing a moist environment, negative pressure wound therapy (NPWT) and bioengineered matrices provide better healing, reduced infection risk, and lower long-term costs than other conventional approaches. Smart dressings incorporating biosensors and emerging therapies, such as nanomedicine, stem cells and growth factors, also have great promise, but require large-scale validation. Conventional strategies continue to be useful in initial and less complicated wounds but modern, individualized, and multi-disciplinary care is becoming more important in achieving better outcomes. Integrating both approaches, following EWMA and NICE guidelines, appears most effective to deliver on innovation, accessibility and cost-effectiveness in chronic wound care.
Material and method: This study employed a narrative review approach based on the analysis of recent scientific publications, international guidelines (EWMA, NICE), and clinical trial results comparing traditional and modern strategies for the management of chronic wounds.
References
Haalboom, M. (2018). Chronic wounds: Innovations in diagnostics and therapeutics. Current Medicinal Chemistry, 25(41), 5772–5781. https://doi.org/10.2174/0929867324666170710120556
Han, G., & Ceilley, R. (2017). Chronic wound healing: A review of current management and treatments. Advances in Therapy, 34, 599–610. https://doi.org/10.1007/s12325-017-0478-y
Bowers, S., & Franco, E. (2020). Chronic wounds: Evaluation and management. American Family Physician, 101(3), 159–166. https://www.aafp.org/pubs/afp/issues/2020/0201/p159.pdf
Kapp, S., Miller, C., & Santamaria, N. (2023). Chronic wounds and quality of life. University of Melbourne.
Brown, M. S., Ashley, B., & Koh, A. (2018). Wearable technology for chronic wound monitoring: Current dressings, advancements, and future prospects. Frontiers in Bioengineering and Biotechnology, 6, Article 47. https://doi.org/10.3389/fbioe.2018.00047
Chalannavar, R. K., Divakar, M. S., Kumar, A., Malabadi, R. B., Swathi, Kamble, A. A., Karamchand, K. S., Kolkar, K. P., Moramazi, S., Ribeiro Munhoz, A. N., & Castaño Coronado, K. V. (2025). Wound healing: Traditional plant based and modern wound dressing—An update. International Journal of Biological and Pharmaceutical Sciences Archive, 9(2), 44–66. https://doi.org/10.53771/ijbpsa.2025.9.2.0039
Stallard, Y. (2018). When and how to perform cultures on chronic wounds? Journal of Wound, Ostomy and Continence Nursing, 45(2), 179–186. https://nursing.ceconnection.com/ovidfiles/00152192-201803000-00013.pdf
Kolimi, P., Narala, S., Nyavanandi, D., Youssef, A. A. A., & Dudhipala, N. (2022). Innovative treatment strategies to accelerate wound healing: Trajectory and recent advancements. Cells, 11(15), Article 2439. https://doi.org/10.3390/cells11152439
Fan, W.-P. L., Rashid, M., & Enoch, S. (2010). Current advances in modern wound healing. Wounds UK, 6(3), 22–30. https://wounds-uk.com/wp-content/uploads/2023/02/content_9649.pdf
Akopian, G., Nunnery, S. P., Piangenti, J., Rankin, P., Rinoie, C., Lee, E., & Alexander, M. (2006). Outcomes of conventional wound treatment in a comprehensive wound center. The American Surgeon, 72(4), 314–317. https://doi.org/10.1177/000313480607200407
Fonder, M. A., Lazarus, G. S., Cowan, D. A., Aronson-Cook, B., Kohli, A. R., & Mamelak, A. J. (2008). Treating the chronic wound: A practical approach to the care of nonhealing wounds and wound care dressings. Journal of the American Academy of Dermatology, 58(2), 185–206. https://doi.org/10.1016/j.jaad.2007.08.048
Lipiński, P. (2021). Zasady postępowania w zakażeniu owrzodzenia stopy cukrzycowej na podstawie aktualnych wytycznych i doniesień. Leczenie Ran, 18(2), 51–56. https://doi.org/10.5114/lr.2021.107149
D’Arpino, M. (2025). The intersection of patient safety and wound care: A strategic approach for optimal outcomes. Wound Care Canada, 23(1), 42–45. https://doi.org/10.56885/786632kymsgd
Heyer, K., Augustin, M., Protz, K., Herberger, K., Spehr, C., & Rustenbach, S. J. (2013). Effectiveness of advanced versus conventional wound dressings on healing of chronic wounds: Systematic review and meta-analysis. Dermatology, 226(1), 1–13. https://biologiq.nl/UserFiles/Effectiveness%20of%20Advanced%20versus%20Conventional%20Wound%20Dressings%20on%20Healing%20of%20Chronic%20Wounds,Systematic%20Review%20and%20Meta-Analysis.pdf
Price, P., Gottrup, F., & Abel, M. (2014). EWMA study recommendations. Journal of Wound Care, 23(Suppl. 5), S1–S36. https://ewma.org/wp-content/uploads/2024/04/Study_Recommendations_on_Leg_Ulcers_and_Wound_Care.pdf
National Institute for Health and Care Excellence. (2014). Pressure ulcers: Prevention and management (CG179). https://www.nice.org.uk/guidance/cg179
National Institute for Health and Care Excellence. (2015). Diabetic foot problems: Prevention and management (NG19). https://www.nice.org.uk/guidance/ng19
Ghomi, E. R., Niazi, M., & Ramakrishna, S. (2023). The evolution of wound dressings: From traditional to smart dressings. Polymers for Advanced Technologies, 34(2), 520–530. https://doi.org/10.1002/pat.5929
Ha, J.-H., Kim, J. Y., Kim, D., Ahn, J., Jeong, Y., Ko, J., Hwang, S., Jeon, S., Jung, Y., Gu, J., Han, H., Choi, J., Lee, G., Bok, M., Park, S. A., Cho, Y. S., Jeong, J.-H., & Park, I. (2023). Multifunctional micro/nanofiber based-dressing patch with healing, protection, and monitoring capabilities for advanced wound care. Advanced Materials Technologies, 8(7), Article 2201765. https://doi.org/10.1002/admt.202201765
Vuerstaek, J. D. D., Vainas, T., Wuite, J., Nelemans, P., Neumann, M. H. A., & Veraart, J. C. J. M. (2006). State-of-the-art treatment of chronic leg ulcers: A randomized controlled trial comparing vacuum-assisted closure (V.A.C.) with modern wound dressings. Journal of Vascular Surgery, 44(5), 1029–1037. https://doi.org/10.1016/j.jvs.2006.07.030
Vikatmaa, P., Juutilainen, V., Kuukasjärvi, P., & Malmivaara, A. (2008). Negative pressure wound therapy: A systematic review on effectiveness and safety. European Journal of Vascular and Endovascular Surgery, 36(4), 438–448. https://doi.org/10.1016/j.ejvs.2008.06.010
Nicolazzo, D., Rusin, E., Varese, A., & Galassi, M. (2023). Negative pressure wound therapy and traditional dressing: An Italian health technology assessment evaluation. International Journal of Environmental Research and Public Health, 20(3), Article 2400. https://doi.org/10.3390/ijerph20032400
Melin, M., & Zelaya, C. (2020). Chronic wound management with the innovative ovine extracellular matrix technology: A Honduran experience. Symposium on Advanced Wound Care Spring 2020 Virtual. https://aroa.com/wp-content/uploads/2023/07/Melin-SAWC-Spring-2020-23-June-2020-A4-1.pdf
Saifullah, Q., & Sharma, A. (2024). Current trends on innovative technologies in topical wound care for advanced healing and management. Current Drug Research Reviews, 16(3), 319–332. https://doi.org/10.2174/0125899775262048230925054922
Jiang, Q., Chen, Z.-H., Wang, S.-B., & Chen, X.-D. (2017). Comparative effectiveness of different wound dressings for patients with partial-thickness burns: Study protocol of a systematic review and a Bayesian framework network meta-analysis. BMJ Open, 7, Article e013289. https://doi.org/10.1136/bmjopen-2016-013289
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Copyright (c) 2026 Bartłomiej Siuzdak, Aleksandra Piech, Wiktoria Mika, Karolina Pasierb, Tomasz Ufniarski, Maria Ufniarska, Aleksandra Markuszewska, Weronika Grodzińska, Piotr Sobkiewicz, Karol Poplicha, Marta Jutrzenka
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