UrgoK1
Step-by-step application guide
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Leg type
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
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
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
Venous hypertension can cause oedema as the fluid and waste metabolites are unable to be re-absorbed back into the venous system.
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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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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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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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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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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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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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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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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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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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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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Take the heel, making a figure 8 wrap around the ankle. Ensure that the heel is fully covered.
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Take the heel, making a figure 8 wrap around the ankle. Ensure that the heel is fully covered.
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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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To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
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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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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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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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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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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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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.