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Pretibial laceration 

Pretibial laceration
Chapter:
Pretibial laceration
Author(s):

Neel Bhanderi

, and Fleur Cantle

DOI:
10.1093/med/9780199654093.003.0011
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date: 20 February 2020

This chapter provides a discussion of the challenges facing the emergency physician when dealing with an elderly patient with a pretibial laceration. The assessment of such wounds and a classification system for these injuries is presented.

It examines the evidence base for three key clinical questions: the use of sterile water verses tap water for irrigation;the best method for closure of such wounds; and the potential benefits of early skin grafting. A potential management algorithm is presented and criteria for referral to a plastic surgeon discussed. The concept of skin-tear risk prevention is introduced.

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