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Ace Wrapping Lower Extremity (Leg) Stumps (4409)

Ace Wrapping Lower Extremity (Leg) Stumps (4409) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Wound and Skin


Ace Wrapping Lower Extremity (Leg)
After Amputation

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

Below the Knee Amputations

1. Start at the end of the limb.
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

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

3. Continue making diagonal turns. Apply
firm pressure over the end of the limb.
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. Anchor the ace bandage with tape. Do
not use safety pins. Re-wrap 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, the behind and
around the end, covering the inside. Be
certain to keep the bandage smooth.
Avoid wrinkles as they may cause skin

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

3. Continue making diagonal turns around
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

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. Anchor the
bandage with tape. Do not use safety

The bandage should not cause pain. If it
does, remove the bandage and re-wrap.
Re-wrap 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 © 9/2014 University of Wisconsin Hospitals and Clinics Authority,
All rights reserved. Produced by the Department of Nursing. HF#4409