New Amputee Guide
Preparation for Fitting a Prosthesis
In general the earlier a prosthesis is
fitted the better it is for the amputee. One of the most diffcult
problems facing the amputee and the treatment team is edema,
or swelling of the limb, owing to the accumulation of fluids.
Edema will be present to some extent in all cases, and it makes
fitting of the prosthesis difficult, but certian measures can
be taken to reduce the amount of edma.
The use of a rigid dressing can control edema, but this practice
is not that commonly used anymore. Elastic bandages and special
elastic shrinker socks are now more commonly used to
The limb should be bandaged constantly, but the bandage should
be changed every four to six hours. It must never be kept in
place for more than 12 hours without re-bandaging. If
throbbing should occur, the bandage must be removed and
Special elastic "shrinker socks" are available for use instead
of elastic bandages, and while not considered by some to be
as effective as a properly applied bandage, a shrinker sock
is better than a poorly applied elastic bandage.
Whether an elastic bandage or a shrinker sock is used, it
should be removed at least three times daily and the limb
should be massaged vigorously for 10-15 minutes. The bandage
or sock must be reapplied immediately after the massage.
1. Start with the bandage held in place on the inside of the thigh
just above the knee and unroll the bandage so that it is laid
diagonally down the outer side of the limb while maintaining
about two-thirds of the maximum stretch in the bandage.
2. Bringing the bandage over the inner end of the limb and
diagonally up the outer side of the limb.
3.Bringing the bandage under the back of the knee, continue over
the upper part of the kneecap and down under the back of the
4.Bring the bandage diagonally down the back of the limb and
around over the end of the limb. Continue up the back of the
limb to the starting point on the inside of the thigh and repeat
the sequence in a manner so that the entire limb is covered
by the time the roll is used up. The end of the bandage is
held in place with the special clips that are provided. It is
important that the tightest part of the bandage be at the end
of the limb.
Continue to: The Temporary Prosthesis
| Prosthetics |
Amputees Serving Amputees
Rehabilitation Institute Of Indianapolis, Inc.
2437 N. Meridian Street
Indianapolis, In. 46208
Phone: 1-888-456-7440 or 317-924-4505