Discharge Instructions: Wrapping Your Stump Below the Knee

General guidelines

• Use 1 or 2 clean 4-inch elastic bandages each day. You may want to sew them together end to end.

• Sit on the edge of a firm bed or chair. As you wrap, keep your knee extended on a stump board or chair of the same height.

• Always wrap in a diagonal direction. Wrapping straight across the limb can cut off the blood supply.

• Keep the tension greatest at the end of the limb. Gradually reduce the tension as you work up the lower leg.

• Make sure there are at least 2 layers of bandage and that no layer directly overlaps another. Keep the bandage free of wrinkles and creases.

• Be sure there is no puckering or bulging of the skin. Check to make sure that all the skin below the knee is covered. Don’t cover the kneecap.

• Rewrap the limb every  4 to 6 hours, or if the bandage starts to slip or feel loose.

• Tingling or throbbing anywhere in the limb may be a sign that the tension is too tight. Rewrap the bandage, using less tension.

Step 1

• Hold the bandage in one hand with the roll facing up and toward you.

• With the other hand, hold the end of the bandage against the front of the limb, just below the knee.

• Slowly unroll the bandage diagonally down the front of the lower leg to the inside corner of the limb.

Step 2

• Wrap the bandage over the inside corner of the limb. Give it a slight tug so that it stays firmly against the skin.

• Bring the bandage around the back of the limb to the outside of the lower leg.

• Wrap diagonally up the lower leg toward the knee. Cross over the end of the bandage to hold it in place.

Step 3

• Go around the back of the lower leg. Bring the bandage to the front on the outside, just below the knee.

• Wrap diagonally down the front of the lower leg to the inside of the limb.

Step 4

• Bring the bandage around the back of the limb and forward over the outside corner. Give the bandage another gentle tug to keep it firmly against the skin.

• Wrap diagonally up the front of the lower leg.

Step 5

• Go around to the back of the limb and come to the front again below the knee.

• Wrap diagonally down the front of the lower leg toward the inside corner of the limb.

• Repeat steps 2 through 4 until all the skin below the knee is totally covered.

Step 6

• To keep the bandage from slipping, bring it up one side of the knee, around the back of the thigh, and down the other side of the knee.

• Then wrap diagonally down and around the lower leg to the end of the bandage.

• Attach the end of the bandage to the layer below it with paper tape. Don't use safety pins or clips.

Follow-up care

Make a follow-up appointment with your healthcare provider, or as advised.

When to call your healthcare provider

Call your healthcare provider right away if you have any of these:

• Redness at the end of the stump that does not go away

• Bad odor from the stump

• Swelling or increasing pain at the end of the stump

• More bleeding than usual or discharge from the stump

• Stump that has a chalky white or blackish color