UrgoK2
Step-by-step application guide
Right-handed
Left-handed
Regular
Inverted champagne bottle
Fibrosis
Calf muscle wastage
Oedema
Leg type
Inverted champagne bottle
Venous hypertension can be associated with the formation of fibrin around the capillaries, with fibrosis and hardened skin in the gaiter area. This leads to a distorted leg shape.
We refer to inverted champagne bottle shape where the circumference of the upper calf is much bigger than that of the ankle
Leg type
Fibrosis of the ankle
Venous hypertension can be associated with the formation of fibrin around the capillaries, with fibrosis and hardened skin in the gaiter area. This leads to a distorted leg shape.
Leg type
Calf muscle wastage or areas at risk
Some areas (tibial crest, Achilles tendon, bone protusions…) are at risk of excess pressure, especially with patients presenting very thin legs or calf muscle wastage.
Leg type
Oedema
Venous hypertension can cause oedema as the fluid and waste metabolites are unable to be re-absorbed back into the venous system.
UrgoK2
Step-by-step application guide
UrgoK2
Step-by-step application guide
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Shape the leg
Depending on leg morphology, fill the hollow, reconstitute the calf muscle or reinforce the ankle using a strip of wadding.
Modulate thickness according to the desired degree of reinforcement.
The goal is to recreate a "normal" leg shape.
Steps
Why shaping the leg?
Venous leg ulcer healing requires application of therapeutic compression, enabling the blood to rise from the bottom to the top of the body.
To enable blood to move up along the leg, compression should be degressive from the ankle (~40 mmHg) to the knee (~20 mmHg). For this, the patient’s leg should be shaped like an inverted cone. If this is not the case, a padding device (foam, wadding, cushions, etc.) may be used to re-form an inverted cone shape
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Shape the leg
Depending on leg morphology, fill the hollow, reconstitute the calf muscle or reinforce the ankle using a strip of wadding.
Modulate thickness according to the desired degree of reinforcement.
The goal is to recreate a "normal" leg shape.
Steps
Why shaping the leg?
Venous leg ulcer healing requires application of therapeutic compression, enabling the blood to rise from the bottom to the top of the body.
To enable blood to move up along the leg, compression should be degressive from the ankle (~40 mmHg) to the knee (~20 mmHg). For this, the patient’s leg should be shaped like an inverted cone. If this is not the case, a padding device (foam, wadding, cushions, etc.) may be used to re-form an inverted cone shape.
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Protect the leg
Cut a length of wadding strip.
Position it vertically along the tibial crest/zone.
Steps
Why protecting those areas? Which ones?
It is sometimes necessary to use padding devices (foam, wadding, cushions, etc.) to protect areas at risk of excess pressure (bone protrusions) to avoid possible lesions. These excess pressure areas are frequently located on the tibial crest, Achilles tendon, dorsum of the foot or other vulnerable tendons.
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Measure the ankle
To choose the appropriate size, measure the ankle circumference, approximately 2 cm above the malleolus.
Steps
If the oedema is too big, you may need to palpate the leg to find the malleolus.
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Measure the ankle
To choose the appropriate size, measure the ankle circumference after padding, approximately 2 cm above the malleolus.
Next, apply the system in a standard manner, above the reinforcement.
Steps
If the oedema is too big, you may need to palpate the leg to find the malleolus.
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Measure the ankle
To choose the appropriate size, measure the ankle circumference after padding, approximately 2 cm above the malleolus.
Next, apply the system in a standard manner, above the reinforcement.
Steps
If the oedema is too big, you may need to palpate the leg to find the malleolus.
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Measure the ankle
To choose the appropriate size, measure the ankle circumference after wadding, approximately 2 cm above the malleolus.
Next, apply the system in a standard manner, above the reinforcement.
Steps
If the oedema is too big, you may need to palpate the leg to find the malleolus
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Measure the ankle
To choose the appropriate size, measure the ankle circumference, approximately 2 cm above the malleolus.
Steps
If the oedema is too big, you may need to palpate the leg to find the malleolus.
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Select the white bandage
The UrgoK2 kit is composed of a short-stretch bandage (white - KTech) and a long-stretch (beige - KPress) bandage.
To start, pick up K-TECH, the white short-stretch bandage and open it.
The white bandage should be applied on the leg first, then the beige bandage will come on top.
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Apply on foot
Start at the base of the toes, making 1 to 2 wraps without applying excess pressure.
For the 18-25 cm kit, the pressure spot indicators should be towards the top of the leg.
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Apply on foot
How to hold the bandage roll?
Apply the white bandage, positioning the roll upward (pressure spot indicators visible) and the pressure spot indicators towards the end of the toes.
Start at the base of the toes, making 1 to 2 wraps without applying excess pressure. For the 18-25 cm kit, the pressure spot indicators should be towards the toes.
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Cover the heel with a figure 8
Take the heel, making a figure 8 wrap around the ankle. Ensure that the heel is fully covered.
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Cover the heel with a figure 8
Take the heel, making a figure 8 wrap around the ankle. Ensure that the heel is fully covered.
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The right stretch
To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
Steps
The PresSure indicators should be pointing towards the bottom
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The right stretch
To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
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The right overlap
To achieve the correct overlap, cover pressure indicators so that 50% of the previous wrap is covered for the 18-25cm kit, or 2/3 for the 25-32cm kit.
Steps
The PresSure indicators should be fully covered by the wraps
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The right overlap
To achieve the correct overlap, overlap the wraps so that 50% of the previous wrap is covered for the 18-25cm kit, or 2/3 for the 25-32cm kit.
As you are left handed, the pressure spot indicators should remain visible.
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Bandaging the leg
From the ankle, wrap up to the knee in spirals, using the pressure spot indicators as a guide for the level of stretch and overalap, as in the previous steps.
Steps
The PresSure indicators should be fully covered by the wraps
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Bandaging the leg
From the ankle, wrap up to the knee in spirals, using the pressure spot indicators as a guide for the level of stretch and overalap, as in the previous steps
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Stop below knee & cut excess bandage
Finish 2 cm below the knee and cut off any excess bandage.
Steps
Bandaging should stop at the 'Tibial Tuberosity’, ending at the back of the knee one or two fingers lower than the popliteal fossa.
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Stop below knee & cut excess bandage
Finish 2 cm below the knee and cut off any excess bandage.
Steps
Bandaging should stop at the 'Tibial Tuberosity’, ending at the back of the knee one or two fingers lower than the popliteal fossa.
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Where to start the 2nd bandage
To ensure that only the white bandage is in contact with the skin, leave a 1 cm margin around the toes.
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Where to start the 2nd bandage
To ensure that only the white bandage is in contact with the skin, leave a 1 cm margin around the toes.
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Apply the 2nd bandage
Apply the second bandage on top of the first, using the same technique.
Steps
To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
To achieve the correct overlap, cover pressure indicators so that 50% of the previous wrap is covered for the 18-25cm kit, or 2/3 for the 25-32cm kit.
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Apply the 2nd bandage
Apply the second bandage on top of the first, using the same technique.
Steps
To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
To achieve the correct overlap, cover pressure indicators so that 50% of the previous wrap is covered for the 18-25cm kit, or 2/3 for the 25-32cm kit. The pressure spot indicators should remain visible.
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Stop below knee
Here again, to ensure that only the white bandage is in contact with the skin, leave a 1 cm margin around the knee. Cut off any excess bandage.
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Stop below knee
Here again, to ensure that only the white bandage is in contact with the skin, leave a 1 cm margin around the knee. Cut off any excess bandage.
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Secure cohesion
Apply gentle pressure with the hands along the leg to ensure correct cohesion of the 2nd bandage