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]
Use Mepitil (or other non-adherent dressing) in preference to steristrips
Cover with good toe to knee pressure bandage
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 may be considered for overnight admission to CDU for elevation to prevent haematoma formation

Pre-tibial steristrips — Pretibial laceration