228 chapter 27
CARE OF THE AMPUTATED LIMB
The goals in caring for the stump are to maintain a good shape and good position for
fitting an artificial limb. This means taking active steps to:
1. avoid swelling,
2. keep the full range of motion (prevent contractures), and
3. maintain strength.
WRAPPING THE STUMP
To prevent swelling and keep a good shape for fitting an
artificial limb, it is important to wrap the newly amputated
limb for a long time after it has been cut off.
The leg should be wrapped in a way that squeezes the
liquid in the leg upward (rather than trapping it at the end).
Use an elastic bandage in this manner:
Below knee
WITHOUT
WRAPPING
WITH
WRAPPING
BAD SHAPE GOOD SHAPE
1 2
Above knee
3 4
5 6
7 8 9 10
1 2 3 4
5 6 7 8 9
ELEVATING THE STUMP
In addition to being wrapped, a newly amputated limb should be kept lifted high up
most of the time. Avoid spending a lot of time with the arm or leg hanging down.
RIGHT
WRONG
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