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:
Step 1
Wash and dry the leg and apply a moisturizing cream to the unbroken skin
Step 2
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
Step 3
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.
Step 4
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.
Step 5
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.
Step 6
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