Fig 23-3. Transfemoral residual limb wrapping. 1, begin by placing a double-length 6-in. elastic bandage at letter D, and cross down to corner B. Note that the pressure should be uniform throughout part 1 (Nos. 1 to 8) of the wrapping procedure. 2, continue the bandage around corner C, and cross the front up toward A 3, wrap around the waist, with the thigh extended, and then back toward A 4, continue around the back of the thigh toward D. 5, cross to A, and wrap the uppermost part of the inner aspect of the thigh. 6, again, wrap the bandage around the waist to A and then around the back of the thigh to D, and cover the upper inner part of the thigh again. 7, return toward A, wrap the bandage down and across the back to corner C, and then again return toward A. 8, wrap around the back, and anchor with tape. This completes part 1 with the 6-in. bandage. 9, part II: begin by placing a double-length 4-in. elastic bandage on the residual limb between the corners A and B. Wrap diagonally around corners B and C. 10, cross upward toward A, and anchor the wrap. 11, continue around the back and down to corner C. 12, wrap upward and across to A and then around the back toward D. 13, continue down and across to cover corners B and C. 14, continue upward and across to A This is the figure-of-8 pattern guide. 15, wrap around the back toward D. 16, continue down, and wrap corners b and C, but wrap slightly higher than the previous time around. Continue wrapping higher on the residual limb until the figure-of-8 bandage is completed. 17, remember to apply less pressure as you move up. Complete the wrap by anchoring it with tape. Note that the angle between the figure 8s should be 80 to 90 degrees at the crossover point to avoid a tourniquet effect.


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