After an amputation, what should be avoided during the first 24 hours to prevent complications?

After an amputation, it is essential to avoid placing the limb under a pillow during the first 24 hours to prevent complications. When the limb is propped up with a pillow, it can lead to flexion contractures, particularly in the residual limb. This positioning can hinder circulation and promote complications such as edema and impaired healing.

Instead, clinicians typically recommend that the residual limb is kept in a more neutral position, often extended flat on the bed. This allows for better blood flow and reduces the risk of contractures, which can delay recovery and rehabilitation. Proper positioning is critical in the postoperative phase to encourage optimal healing and prepare the patient for future prosthetic fitting and mobility.

Maintaining appropriate limb positioning also supports increased comfort and aligning with best practice interventions for post-operative care.