Stump Bandaging

August 8, 2022

Ewe

Twi

In order to achieve stump healing after amputation, various methods are applied, such as soft dressings followed by elastic wrapping of the stump, rigid dressings, semi-rigid dressings, and more recently the application of silicon or gel-liners.

One of the most important procedures in the pre-prosthetic care of an amputee is the bandaging of the stump. Proper bandaging shapes and shrinks the stump so that the amputee can more successfully be fitted to a prosthesis. If a stump has not been bandaged, or has been improperly bandaged, the amputee will have to have many adjustments made to their socket as shrinkage occurs.  The purpose for bandaging a stump is to shrink and shape the stump. 

Methods of Bandaging 

BKA – Below-knee Amputation 

AKA – Above-knee Amputation 

Materials Used for bandaging 

  • The materials used are 2 ” or 3″, 4″, or 5″ ace bandages or elasticized bandages sewn together end to end. 
  • The number and width of bandages varies according to the size and length of the stump. 

Application and Pressure 

  • When the patient is walking, the bandage is applied before he gets out of bed. 
  • Ideally, the bandage is left on for four hours, or more, providing that it feels comfortable and is secure.
  • The bandage should be maintained continuously and reapplied when tension is lost. 
  • Pressure should be applied under moderate tension to the entire stump. 

If you are unsure about how to do this contact your physiotherapist, prosthetist, medical professional or relevant amputee peer-support team for further information.

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