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Pre-tibial laceration Advice We call the wound on your shin a pre-tibial laceration. Unlike a simple cut it may take several weeks to heal completely as the skin is very thin and the blood supply to the wound may not be very good. Because the skin is so thin we can’t use normal stitches. Instead we use paper stitches called steristrips as this is the best way to close the skin without further harming the blood supply to it. You will usually have your dressing changed by a District or Practice Nurse in about 5 days and s/he will monitor your progress. Your cut will heal better with a good supply of blood to it, which is why we put the bandage all the way from your toes to your knee. This ensures a good, even circulation to your leg. Things you should do Things you shouldn’t do Try and rest at least 2-3 times a day for at least Remove the bandage or half an hour. dressing. The wound is usually best left for Try and continue with your normal activities several days before When you’re sitting down: redressing to give healing o keep your foot raised (elevated) – it should a chance to take place be higher than your hip before it is disturbed. o keep your leg warm – cover it with a rug; Get the dressing wet o Exercise your foot by moving it up and down for at least a minute every hour. You should also Smoking will affect the bend your knee and wriggle your toes to exercise circulation to your leg so it your calf muscles for at least a minute. This will take longer to heal. reduces the risk of blood clotting in your leg Stand still for long periods Keep your leg elevated at night by raising the - such as when you are end of your mattress/bed cooking, washing dishes or ironing - as this will Take painkillers regularly if you have pain – take make the circulation in some about 1hour before you have your dressing your leg slow. For changed; example, don’t iron for Eat a good diet –see next page for more more than 10 minutes at a information. time. If your leg bleeds heavily and soaks the dressing or if you see redness spreading up your legs, you should get advice from your GP or District Nurse or the A&E/MIU where you were seen as soon as possible Because you are have a bandage you need to look out for o your toes becoming swollen or pale/blue or very cold or your leg becoming more painful o you have tingling or you can’t move your toes What to do if you have these symptoms Elevate your leg for 30mins. If this does not improve things then you should return to A&E straight away. If you are at all concerned about your injury please contact the relevant Accident and Emergency Department/Minor Injury Unit (MIU): Royal Gwent Hospital: 01633 234070 Nevill Hall Hospital: 01873 732040 Ysbyty Ystrad Fawr (YYF) MIU 01443 802336 or 802337 Ysbyty Anuerin Bevan (YAB) MIU: 01495 363818 PIL/PTL /Dec 2013/JanJackson/NJ/ review 2015 Pre-tibial laceration Advice Advice about your diet. You need to eat a diet which helps your wound heal quickly. The eatwell plate below highlights and shows the proportions we should eat to have a well balanced and healthy diet. Try to eat: Plenty of fruit and vegetables: These can be fresh, frozen or dried but eat 5 portions a day at least. A portion is about a handful or one apple, banana, medium sized orange. These contain essential vitamins and minerals. Plenty of potatoes, bread, chapattis, rice, pasta, noodles and other starchy foods: Choose wholegrain varieties whenever you can, or eat potatoes with their skins on for more fibre and to help prevent constipation Some milk and dairy foods: Go for lower-fat milk and dairy foods. These are healthier options to help you get enough protein and calcium Some meat, fish, eggs, beans and other non-dairy sources of protein: These are important sources of protein, vitamins and minerals, and form part of a healthy balanced diet. Cut down on fat and sugar by eating fewer sweets, cakes and biscuits, and drinking fewer sugary soft drinks and try to avoid the breakfast cereals which have sugary toppings. Consider a daily multivitamin until the wound has healed if you are not able to eat a well-balanced diet. The eatwell plate Imagine this is your plate for your main meal. Try to have food in the proportions shown References http://www.nhs.uk/Livewell/Goodfood/Pages/eatwell-plate.aspx If you are at all concerned about your injury please contact the relevant Accident and Emergency Department/Minor Injury Unit (MIU): Royal Gwent Hospital: 01633 234070 Nevill Hall Hospital: 01873 732040 Ysbyty Ystrad Fawr (YYF) MIU 01443 802336 or 802337 Ysbyty Anuerin Bevan (YAB) MIU: 01495 363818 PIL/PTL /Dec 2013/JanJackson/NJ/ review 2015