UrgoK2
Step-by-step application guide
Right-handed
Left-handed
Regular
Champagne bottle
Fibrosis
Calf muscle wastage
Leg type
Inverted champagne bottle
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, padding devices (foam, wadding, cushions, etc.) may be used to re-form the leg to an inverted cone shape.
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 protrusions…) are at risk of excess pressure, especially with patients presenting skinny legs or calf muscle wastage.
UrgoK2
Step-by-step application guide
UrgoK2
Step-by-step application guide
of
Limb protection & reshaping
Depending on leg morphology, it is sometimes necessary to use padding devices (foam, wadding, cushions, etc.) to re-form the leg to an inverted cone shape.
After dressing has been applied on the wound and before applying the compression bandage, apply padding to protect any bony prominences at risk of excess pressure.
Make sure the bony prominences at risk of excess pressure - tibial crest zone, malleolus and the dorsiflex - are also protected.
Cut a length of wadding strip. Position it vertically along the tibial crest/zone.
Steps
Some areas (tibial crest, Achilles tendon, bone protusions…) are at risk of excess pressure, especially with patients presenting skinny legs or calf muscle wastage.
of
Limb reshaping & protection
Depending on leg morphology, it is sometimes necessary to use padding devices (foam, wadding, cushions, etc.) to re-form the leg to an inverted cone shape.
After dressing has been applied on the wound and before applying the compression bandage, apply padding to protect any bony prominences at risk of excess pressure.
Steps
Depending on leg morphology, it is sometimes necessary to use padding devices (foam, wadding, cushions, etc.) to re-form the leg to an inverted cone shape.
After dressing has been applied on the wound and before applying the compression bandage, apply padding to protect any bony prominences at risk of excess pressure.
of
Limb reshaping & protection
Depending on leg morphology, it is sometimes necessary to use padding devices (foam, wadding, cushions, etc.) to re-form the leg to an inverted cone shape.
After dressing has been applied on the wound and before applying the compression bandage, apply padding to protect any bony prominences at risk of excess pressure.
Steps
Why do you need to shape 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, padding devices (foam, wadding, cushions, etc.) may be used to re-form the leg to an inverted cone shape.
of
Limb Protection
It is sometimes necessary to use padding devices (foam, wadding, cushions, etc.) to protect areas at risk of excess pressure.
After dressing has been applied on the wound and before applying the compression bandage, apply padding to protect any bony prominences at risk of excess pressure.
Note: make sure you maintain an inverted cone shape for graduated compression.
Steps
These excess pressure areas are frequently located on the tibial crest and Achilles tendon.
Examples:
Tibial crest zone – cut a length of wadding strip and position it vertically along the tibial crest or apply wadding strip in spiral around the leg, depending on institution protocol and your own clinical judgment.
Malleolus and the dorsiflex – apply two turns of wadding strip around the ankle to encompass both the malleolus and the dorsiflex.
of
Measure the ankle
To choose the correct kit size, measure the ankle circumference after padding, approximately 2 cm above the malleolus.
2 sizes available to ensure correct overlap is achieved:
- Kit Size #1: 18-25 cm
- Kit Size #2: 25-32 cm
Steps
If the swelling is substantial, it might be necessary to gently touch and examine the leg in order to locate the malleolus.
For ankle circumference greater than 32 cm, the Kite Size #2 (25-32 cm) may be used. In the event of very stout legs, two UrgoK2 kits may be used to cover the leg and achieve the recommended level of compression at the ankle.
of
Measure the ankle
To choose the correct kit size, measure the ankle circumference after padding, approximately 2 cm above the malleolus.
2 sizes available to ensure correct overlap is achieved:
- Kit Size #1: 18-25 cm
- Kit Size #2: 25-32 cm
Steps
If the swelling is substantial, it might be necessary to gently touch and examine the leg in order to locate the malleolus.
For ankle circumference greater than 32 cm, the Kite Size #2 (25-32 cm) may be used. In the event of very stout legs, two UrgoK2 kits may be used to cover the leg and achieve the recommended level of compression at the ankle.
of
Measure the ankle
To choose the correct kit size, measure the ankle circumference after padding, approximately 2 cm above the malleolus.
2 sizes available to ensure correct overlap is achieved:
- Kit Size #1: 18-25 cm
- Kit Size #2: 25-32 cm
Steps
If the swelling is substantial, it might be necessary to gently touch and examine the leg in order to locate the malleolus.
For ankle circumference greater than 32 cm, the Kite Size #2 (25-32 cm) may be used. In the event of very stout legs, two UrgoK2 kits may be used to cover the leg and achieve the recommended level of compression at the ankle.
of
Measure the ankle
To choose the correct kit size, measure the ankle circumference after padding, approximately 2 cm above the malleolus.
2 sizes available to ensure correct overlap is achieved:
- Kit Size #1: 18-25 cm
- Kit Size #2: 25-32 cm
Steps
If the swelling is substantial, it might be necessary to gently touch and examine the leg in order to locate the malleolus.
For ankle circumference greater than 32 cm, the Kite Size #2 (25-32 cm) may be used. In the event of very stout legs, two UrgoK2 kits may be used to cover the leg and achieve the recommended level of compression at the ankle.
of
Measure the ankle
To choose the correct kit size, measure the ankle circumference after padding, approximately 2 cm above the malleolus.
2 sizes available to ensure correct overlap is achieved:
- Kit Size #1: 18-25 cm
- Kit Size #2: 25-32 cm
Steps
If the swelling is substantial, it might be necessary to gently touch and examine the leg in order to locate the malleolus.
For ankle circumference greater than 32 cm, the Kite Size #2 (25-32 cm) may be used. In the event of very stout legs, two UrgoK2 kits may be used to cover the leg and achieve the recommended level of compression at the ankle.
of
Select the white bandage
The UrgoK2 kit is composed of a short-stretch (white) and a long-stretch (beige) bandage.
The white soft-padded, short-stretch bandage should be applied on the leg first, followed by the beige long-stretch cohesive bandage on top.
To start, pick up the white short-stretch bandage.
of
Apply on foot
For Kit Size #1 (18-25 cm), the pressure indicators should be facing away from the toes (facing the patient).
For Kit Size #2 (25-32 cm), the pressure indicators are placed in the center.
Start at the base of the toes with one or two turns.
Apply a moderate stretch, based on your own clinical judgement (vascular status, foot shape and presence of edema), without applying excessive pressure.
of
Apply on foot
Position the roll upward with pressure spot indicators visible.
For Kit Size #1 (18-25 cm), the pressure indicators should be closest to the toes (pointing towards the clinician).
For Kit Size #2 (25-32 cm), the pressure indicators are placed in the center.
Start at the base of the toes with one or two turns.
Apply a moderate stretch, based on your own clinical judgement (vascular status, foot shape and presence of edema), without applying excessive pressure.
of
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.
of
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.
of
The correct 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
of
The correct stretch
To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
of
The correct overlap
To achieve the correct overlap, each new wrap should cover the previous circle, positioned at its base.
For Kit Size #1 (18-25 cm), 50% of the previous wrap is covered.
For Kit Size #2 (25-32 cm), there will be 2/3 overlap.
Steps
The PresSure indicators should be fully covered by the wraps
of
The correct overlap
To achieve the correct overlap, each new wrap should cover the previous circle, positioned at its base.
For Kit Size #1 (18-25 cm), 50% of the previous wrap is covered.
For Kit Size #2 (25-32 cm), there will be 2/3 overlap.
of
Wrapping 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 overlap, as listed in the previous steps.
Steps
The PresSure indicators should be fully covered by the wraps
of
Wrapping 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 overlap, as listed in the previous steps.
of
Stop below the 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.
of
Stop below the 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.
of
Start the 2nd bandage
To ensure that only the white bandage is in contact with the skin, leave a thin margin (about 1 cm) around the toes when applying the second beige bandage.
of
Start the 2nd bandage
To ensure that only the white bandage is in contact with the skin, leave a thin margin (about 1 cm) around the toes when applying the second beige bandage.
of
Apply the 2nd bandage
Apply the beige long-stretch bandage on top of the first bandage using the same technique.
Remember, each new wrap should cover the previous circle, positioned at its base.
Steps
To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
To achieve the correct overlap, each new wrap should cover the previous circle, positioned at its base.
For Kit Size #1 (18-25 cm), 50% of the previous wrap is covered.
For Kit Size #2 (25-32 cm), there will be 2/3 overlap.
of
Apply the 2nd bandage
Apply the beige long-stretch bandage on top of the first bandage using the same technique.
Remember, each new wrap should cover the previous circle, positioned at its base.
Steps
To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.
To achieve the correct overlap, each new wrap should cover the previous circle, positioned at its base.
For Kit Size #1 (18-25 cm), 50% of the previous wrap is covered.
For Kit Size #2 (25-32 cm), there will be 2/3 overlap.
of
Stop below the knee
Here again, to ensure that only the white bandage is in contact with the skin, leave a thin margin (about 1 cm) on the top when applying the beige bandage. Cut off any excess bandage.
of
Stop below the knee
Here again, to ensure that only the white bandage is in contact with the skin, leave a thin margin (about 1 cm) on the top when applying the beige bandage. Cut off any excess bandage.
of
Secure cohesion
Apply gentle pressure with the hands along the leg to ensure correct cohesion of the 2nd bandage