This paper is only available as a PDF. To read, Please Download here.
Pretibial lacerations are a common form of injury of the elderly population. With respect to graft healing, controversy exists regarding rehabilitation by early ambulation, following debridement and split skin grafting. In a prospective, randomised trial comparing early mobilisation (n = 21) with the traditional method of a period of in-patient bed rest after surgical treatment (n = 40), no statistically significant difference has been found in the percentage area of skin graft take at either 1 or 3 weeks postoperatively. The method of anaesthesia (local or general) has no significant effect on the outcome of healing. Prolonged bed rest has a detrimental effect on return to independent mobility in one third of cases. Complications related to the wound site are similar in both groups. Hospital stay averaged 12 days in those confined to bed, compared to an average of 2 days in those who were allowed to walk immediately.
- Pretibial injuries: a common pitfall.BMJ. 1983 February 12; 286: 502
- (Letter) Pretibial injuries: a common pitfall.BMJ. 1983 March 5; 286: 800
- (Letter) Pretibial injuries: a common pitfall.BMJ. 1983 March 5; 286: 801
- Use of sutures or adhesive tapes for primary closure of pretibial lacerations.BMJ. 1985 June 1; 290: 1627
- Lower limb skin loss: simple outpatient management with meshed skin grafts with immediate mobilization.Arch Emg Med. 1987; 4: 187-192
- The early ambulation of patients with lower limb grafts.Br J Plast Surg. 1971; 24: 20-22
- Early mobilization in the treatment of shin injuries.Injury. 1978; 10: 209-210
- Pretibial flap wounds: early grafting under regional anaesthesia as an outpatient procedure.Injury. 1980; 12: 360-364
- The immediate mobilisation of patients with lower limb skin grafts: a clinical report.Br J Plast Surg. 1983; 36: 105-108
- Pretibial lacerations.Br J Plast Surg. 1973; 26: 172-175
Accepted: June 18, 1993
Received: May 18, 1993
© 1993 The British Association of Plastic Surgeons. Published by Elsevier Inc.