Pre-tibial lacerations
- In trials, best results are obtained when these wounds are
routinely treated with primary split skin grafting.
- In all but the young with healthy skin, the
skin of these wounds should NOT be sutured [Bestbets].
- Steristrip wound closure with good toe to
knee pressure bandage is used.
- Very rarely, in deeper wounds a few plain
cat-gut sutures to approximate the subcutaneous tissues may
be indicated.
- Please seek advice from the ED Duty Doc if
in doubt.
- There is no evidence to confirm/refute the
use of antibiotics in pre-tibial haematoma [BestBets]
- Elderly patients should be considered for
overnight admission to CDU for elevation to prevent haematoma
formation
