Caution: Before applying the first bandage, it is important to check the following:
- Assess the patient to rule out arterial disease. The use of Doppler ultrasound is recommended.
- Measure the ankle circumference to confirm that it is greater than 18 cm or 7¼ inches (padded).
- Check if the patient's ankle circumference has changed due to a reduction in edema. Always re-measure after the initial treatment period.
- Assess the patient's limb for bony prominences or calf fibrosis. Ensure that these are well protected using the PROFORE LF #1 padding bandage.
Apply PROFORE LF in the following sequence:
Wash and dry the leg and apply a moisturizing cream to the unbroken skin
Apply the PROFORE LF WCL sterile wound contact layer. Remove from the pack with sterile forceps and apply to the wound. Hold in place until covered by by PROFORE LF #1
PROFORE LF #1 padding bandage: Apply from the base of the toes to the knee using a simple spiral technique and 50% overlap. Do not apply tension.
PROFORE LF #2 light conformable bandage: Apply from the base of the toes to the knee, over PROFORE LF #1, using a simple spiral technique and 50% overlap. Use tape to secure.
PROFORE LF #3 ight compression bandage: Apply from the base of the toes to the knee, using a figure of eight technique at 50% extension. Use the central yellow line as guidance for 50% overlap. Use tape to secure.
PROFORE LF #4 flexible cohesive bandage: Apply from toe to knee using a spiral technique with 50% extension and 50% overlap. Press lightly on the bandage to ensure that the bandage adheres to itself. Apply the bandage steeply across the foot to reduce build-up of material over the front of the ankle.
Please see Overview page for Precautions