Information > Compression therapy with short-stretch bandages

Compression therapy with short-stretch bandages

Pütter bandage

Pütter bandages applied on the lower leg for the treatment of venous leg diseases are first described in literature by Gustav Pütter in 1952. Since that time, the Pütter bandage – which is also a protected trademark - has proven to be very valuable in the treatment of varicose vein disease. Since it was described for the first time more than 50 years ago, the Pütter bandage has not lost its importance despite of several surgical procedures that have been implemented. Therefore, it is still impossible to imagine phlebological treatment without Pütter bandaging.

There are several studies in the medical literature that have demonstrated that Pütter bandaging is still an important treatment method. Apart from the original bandaging technique according to Pütter, several so-called modified bandaging techniques are described in these studies.

For a Pütter compression bandage two short-stretch bandages (Pütter bandages) are applied as a multilayer system. This means that after the application of the first bandage, the second one is applied on top of it using a counter-running technique. This technique prevents the finished bandage from slipping down and produces shear force areas that provide a good fit. This application technique causes the bandage layers to adhere well to each other and stay in place, even when the bandage is worn for longer periods and the patient walks around a lot.

Pütter bandage is available in three different widths: 6cm, 8cm, 10cm, 12cm to suit individual needs.

General principles of bandaging technique

In order to achieve successful compression treatment with short-stretch bandages (Pütter bandage, PütterFlex), which is to be regarded as the basic therapy for chronic venous insufficiency, independently of the method used, the following principles should be observed:

  • A good bandage should firmly enclose the leg all round 
  • Be applied with a pressure gradient decreasing continuously from distal to proximal 
  • Not press or pinch at any point 
  • Before applying the bandage, the ankle should be placed at a right angle and the lower leg flexed at about 90° 
  • If required, bony prominences should be padded at the sides