BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuLeg or foot amputation - dressing changeYou will need to change the dressing on your limb. This will help your stump heal and stay healthy.SuppliesGather the supplies you will need to change your dressing, and place them on a clean work area. You will need:Paper tape Scissors Gauze pads or clean wash cloths to clean and dry your wound Clean and dry your woundAn incision is a cut through the skin made during surgery. It is also called a "surgical wound. " Some incisions are small. Others are very long. ...Read Article Now Book Mark Article ADAPTIC dressing that does not stick to the wound 4-inch by 4-inch (10 cm by 10 cm) gauze pad, or 5-inch by 9-inch (13 cm by 23cm) abdominal dressing pad (ABD) Gauze wraps or Kling roll Plastic bag A basin for water and soap to clean your hands while changing the dressings Taking off the old DressingTake off your old dressing only if your health care provider tells you to. Wash your hands with soap and warm water. Rinse with warm water and dry with a clean towel.Remove the elastic bandages from the stump, and set them aside. Put a clean towel under your leg before you take the old dressing off. Remove the tape. Unwind the outer wrap, or cut off the outer dressing with clean scissors.Gently remove the dressing from the wound. If the dressing is stuck, wet it with warm tap water, wait 3 to 5 minutes for it to loosen, and remove it. Place the old dressing in the plastic bag.Wound CareWash your hands again. Use soap and water on a gauze pad or a clean cloth to wash your wound. Start at one end of the wound and clean it to the other end. Be sure to wash away any drainage or dried blood. Do not scrub the wound hard.Pat the wound gently with a dry gauze pad or a clean towel to dry it from one end to the other. Inspect the wound for redness, drainage, or swelling.Placing the new DressingCover the wound with the dressing. Put on the ADAPTIC dressing first. Then follow with a gauze pad or ABD pad. Wrap with the gauze or Kling roll to hold the dressing in place. Put the dressing on lightly. Putting it on tightly can decrease blood flow to your wound and slow healing.Tape the end of the dressing to hold it in place. Be sure to tape onto the dressing and not onto the skin. Put the elastic bandage on around the stump. At times, your doctor may want you to wear a stump sock. Please put them on as instructed even though it can be uncomfortable initially.Clean up the work area and place the old dressing in the trash. Wash your hands.When to Call the DoctorCall your provider if:Your stump looks redder, or there are red streaks on your skin going up your leg. Your skin feels warmer to touch. There is swelling or bulging around the wound. There is new drainage or bleeding from the wound. There are new openings in the wound or the skin around the wound is pulling away. Your temperature is above 101.5°F (38.6°C) more than one time. The skin around the stump or wound is dark or turning black. Your pain is worse, and your pain medicines are not controlling it. Your wound has gotten larger. A foul smell is coming from your wound. Open ReferencesReferencesAmerican Association for the Surgery of Trauma website. Nagy K. Discharge instructions for wound cares. www.aast.org/resources-detail/discharge-instructions-wound-cares. Updated August 2013. Accessed January 25, 2021.Lavelle DG. Amputations of the lower extremity. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 16.Rose E. Management of amputations. In: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 47.Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M. Wound care and dressings. In: Smith SF, Duell DJ, Martin BC, Gonzalez L, Aebersold M, eds. Clinical Nursing Skills. 9th ed. Hoboken, NJ: Pearson; 2017:chap. 25.US Department of Veterans Affairs website. VA/DoD clinical practice guideline: rehabilitation of lower limb amputation (2017). www.healthquality.va.gov/guidelines/Rehab/amp. Updated October 4, 2018. Accessed July 14, 2020.AllVideoImagesTogSelf Care Leg or foot amputation - dressing changeRelated Information Leg or foot amputation(Surgery)Peripheral artery disease - legs(Condition)Type 1 diabetes(Condition)Type 2 diabetes(Condition)Compartment syndrome(Condition)Foot amputation - discharge(Discharge)Leg amputation - discharge(Discharge)Phantom limb pain(Self-Care)Bathroom safety for adults(Self-Care)Surgical wound care - open(Self-Care)Preventing falls(Self-Care)Diabetes - foot ulcers(Self-Care)Managing your blood sugar(Self-Care)Controlling your high blood pressure(Self-Care)Diabetes - type 1(In-Depth)Diabetes - type 2(In-Depth)Peripheral artery disease and intermittent claudication(In-Depth) Review Date: 7/8/2020 Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. Editorial update 01/25/2021. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.