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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Trauma

Ace Wrapping Lower Extremity (Leg) Stumps Trauma (6819)

Ace Wrapping Lower Extremity (Leg) Stumps Trauma (6819) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Trauma

6819









Ace Wrapping Lower Extremity (Leg) Stumps
Trauma


Ace wrapping the stump after amputation prepares it for fitting artificial limbs (prostheses). Ace
wrapping shrinks and shapes the stump. To wrap, begin with a dry rolled ace bandage. Your
stump should also be dry. Wear the bandage at all times.

Below the Knee Amputations

1. Start at the end of the stump.
Pull the ace wrap diagonally,
in an upward direction to
secure the wrap in place upon
itself. Wrap, making all turns
in a diagonal direction,
forming a criss-cross pattern.
Never use horizontal turns as
they tend to constrict
circulation.






2. Do not encircle the end of the
stump with one turn. It may
cause the skin to crease over
the scar. Cover the inside,
then the outside end of the
stump with each turn.










3. Continue making diagonal turns. Apply
firm pressure over the end of the stump.
4. Ace bandage pressure should become
less and less as you wrap higher toward
the thigh.

















5. Extend the wrap above your knee.
There should be at least one turn above
the kneecap.
6. Secure the ace bandage with tape. Do
not use safety pins. Re-wrap your
stump every hours or more often
if the ace bandage slips or bunches.








Above the Knee Amputations

1. Start with the bandage in the groin area.
Roll toward the outside, then behind
and around the stump, covering the
inside. Be certain to keep the bandage
smooth. Avoid wrinkles as they may
cause skin irritations.

2. Roll around behind the stump.
Continue down and around the outside
half of the end.


















3. Continue making diagonal turns around
the stump until all skin is covered with
at least two layers of bandage and firm
pressure is obtained over the end.

Avoid encircling the end with one turn
as this tends to cause skin creases in the
scar.

Never use circular turns as this
constricts circulation.

Pressure should be greatest at the end,
and lessen as you wrap toward the hip.

Include all soft tissue on the inside of
the thigh at the groin.


4. Begin the turn around the hip as shown
here. The bandage should be placed as
high as possible on the inside of the
thigh and then cross over the hip joint.
5. Carry the bandage behind and around
the pelvis, crossing just below the waist
on the non-amputated side. Returning
to the amputated side, cross over the hip
joint again.


















6. Finish the bandage by making diagonal
turns around the end of the stump.
Secure the bandage with tape. Do not
use safety pins.

The bandage should not cause pain. If
so, remove the bandage and re-wrap.
Re-wrap your stump every 3-4 hours or
more often if the bandage slips or
bunches.





Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2016. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6819.