skin graft or bandage? (warning: wound image enclosed)

I'm not a doctor but… 
Cycling injury, recovery and health issues.
Forum rules
The information / discussion in the Cycling Health Forum is not qualified medical advice. Please consult your doctor.

skin graft or bandage? (warning: wound image enclosed)

Postby jules21 » Fri Feb 24, 2012 10:19 am

Image

spent most of last night in casualty waiting to have this checked out. the doctor sent me there, reckons it may need a graft. the hospital couldn't decide so i have to go back next week to see the plastic surgeon. reckon i might ask for my eyelids to be lifted slightly while i'm there.
Image
User avatar
jules21
 
Posts: 8729
Joined: Thu Apr 02, 2009 10:14 pm
Location: deep in the pain cave

by BNA » Fri Feb 24, 2012 10:27 am

BNA
 

Re: skin graft or bandage? (warning: wound image enclosed)

Postby twizzle » Fri Feb 24, 2012 10:27 am

Amputate.

:P

So... what's the story? Drunk riding? Superman leap off the bike?
I ride, therefore I am.
...real cyclists don't have squeaky chains...
User avatar
twizzle
 
Posts: 6382
Joined: Wed Aug 13, 2008 11:45 am
Location: Taking a break.

Re: skin graft or bandage? (warning: wound image enclosed)

Postby trailgumby » Fri Feb 24, 2012 10:29 am

Bandage. You want them to cut skin off somewhere else? Then you'l have two areas to heal and two scars instead of one.
"People have a right to their own opinions, but not their own facts. Evidence must be located, not created, and opinions not backed by evidence cannot be given much weight." -- James W Loewen

http://www.facebook.com/Drive2WorkDay
User avatar
trailgumby
 
Posts: 10335
Joined: Sat Jan 03, 2009 4:30 pm
Location: Northern Beaches, Sydney

Re: skin graft or bandage? (warning: wound image enclosed)

Postby wizardhat » Fri Feb 24, 2012 10:34 am

Bandage! If you're anything like me you'll get some scarring that will fade over time (I did something similar to my knee while skateboarding a while ago).
Image
User avatar
wizardhat
 
Posts: 176
Joined: Tue Jan 10, 2012 1:25 pm

Re: skin graft or bandage? (warning: wound image enclosed)

Postby Oxford » Fri Feb 24, 2012 10:40 am

not to sound to Monty Python and unsympathetic, but is it really that serious? just looks like a bit of gravel rash. I've had far larger areas, with deeper wounds heal up fine. use a good antiseptic to clean it or even just warm soapy water. I use a hog bristle brush to brush out wounds like this, then an antiseptic cream and cover with a self adhesive wound pad. leave for a week then change dressing (clean if necessary). rinse and repeat until it is healed.
Building more roads to prevent congestion is like a fat man loosening his belt to prevent obesity.
- Lewis Mumford
User avatar
Oxford
 
Posts: 5114
Joined: Wed Dec 03, 2008 1:49 pm
Location: Brisbane

Re: skin graft or bandage? (warning: wound image enclosed)

Postby A_P » Fri Feb 24, 2012 10:45 am

when you go back, ask for a silver foam dressing like mepilex Ag ( you wouldnt want to by theses a the chemist) and leave it there for a week.
Image
User avatar
A_P
 
Posts: 234
Joined: Tue Nov 09, 2010 11:07 am
Location: Gold Coast

Re: skin graft or bandage? (warning: wound image enclosed)

Postby jules21 » Fri Feb 24, 2012 11:04 am

twizzle wrote:So... what's the story? Drunk riding? Superman leap off the bike?

my rear tyre disintegrated mid-corner in a crit on Wednesday. pretty embarassing as there was still a reasonable amount of tread left, but on closer inspection the rubber seems to have perished a bit. it was torn apart during the crit and spat me off :shock:
Oxford wrote:not to sound to Monty Python and unsympathetic, but is it really that serious? just looks like a bit of gravel rash. I've had far larger areas, with deeper wounds heal up fine.

yes, it's just a flesh wound :)

i thought the same but apparently the medicos are worried there may be too little flesh/fat in that small area in the middle for the skin to grow back.
trailgumby wrote:Bandage. You want them to cut skin off somewhere else? Then you'l have two areas to heal and two scars instead of one.

i'd prefer a bandage too, but i'll wait and see what the plastic surgeon says next week.
A_P wrote:when you go back, ask for a silver foam dressing like mepilex Ag ( you wouldnt want to by theses a the chemist) and leave it there for a week.

i might give that a go, ta.
Image
User avatar
jules21
 
Posts: 8729
Joined: Thu Apr 02, 2009 10:14 pm
Location: deep in the pain cave

Re: skin graft or bandage? (warning: wound image enclosed)

Postby cp123 » Fri Feb 24, 2012 4:23 pm

That will heal well with plastic skin like tegaderm or one of those types of dressings.



I was potentially on the cards for a skin graft (re previous posting of a bogan attack riding home one night.. :evil: :evil: .) anyway, mine was waaaay grosser than yours. :P (hope that didn't sound up myself sorry) But its healed up fine and i just have a ringbarked neck now. :evil:
Last edited by cp123 on Fri Feb 24, 2012 4:31 pm, edited 1 time in total.
cp123
 
Posts: 1027
Joined: Tue Sep 08, 2009 4:50 pm

Re: skin graft or bandage? (warning: wound image enclosed)

Postby hotfoot » Fri Feb 24, 2012 4:28 pm

Yep I agree with the last poster...tegaderm and let it granulate up..it could do with some of the mangled skin being removed as it has been exposed to the germy ground and might act as a source of infection.
hotfoot
 
Posts: 102
Joined: Wed May 25, 2011 2:07 pm

skin graft or bandage? (warning: wound image enclosed)

Postby toolonglegs » Fri Feb 24, 2012 4:33 pm

Heals nicer if you keep it moist.
Doctor has obviously never dealt with roadies!.
I have a big moto related skin graft on my shin... They are fragile and annoying for a long time.
Image
User avatar
toolonglegs
 
Posts: 14402
Joined: Fri Jun 29, 2007 7:49 pm
Location: Somewhere with padded walls and really big hills!

Re: skin graft or bandage? (warning: wound image enclosed)

Postby Ken Ho » Fri Feb 24, 2012 4:34 pm

A_P wrote:when you go back, ask for a silver foam dressing like mepilex Ag ( you wouldnt want to by theses a the chemist) and leave it there for a week.


Yes, this is basically a burn.
I had a permanent revolving door of this wound from one knee to the other for at least 5 years as a kid. I would not even bother my mother with them, just a good wash under a tap.
However, I suffered a lot of discomfort from the scabs as they dried, and then cracked. A wound dressing that keeps it moist is a good idea. Many things will suffice, from the above mentioned Mepilex, to Tegaderm, or simple gaffer/electrical tape, which is basically the same thing in a less glamorous package.
The king though, is Hypafix, also known as Fixomuls or Mefix. It sticks like shOwtime to a blanket, can get wet and dry again, and allows new skin to form under it. Just put a few layers on in small pieces to avoid creasing, and leave it for a week. You will be amazed at how it heals under that.
I would probably use a bit if gel like Solugel or Solosite in the deeper section for a few days to fill it in a little. It certaily does not need a skin graft. As TLL< noted, his inexperience was really showing there, and TBH, an appt with a plastic surgeon for that wound is bleeding ludicrous.
And yes, I do heal wounds for a living.
If you carry one piece of gear for first-aid on a bike, let it be a piece of Hypafix.
You have officially become your parents.
Ken Ho
 
Posts: 1270
Joined: Mon Mar 21, 2011 6:28 pm
Location: Pikey, based on Southern Gold Coast

Re: skin graft or bandage? (warning: wound image enclosed)

Postby ft_critical » Fri Feb 24, 2012 4:49 pm

Compare the pair. What is the black stuff and how deep? Can't see bone...

http://www.bicycles.net.au/forums/viewtopic.php?f=11&t=23454&start=100

The yellow parts scarred because that is down to the fat cells. Nothing else scarred.
User avatar
ft_critical
 
Posts: 1532
Joined: Thu Jan 14, 2010 1:06 pm
Location: watching the 11

skin graft or bandage? (warning: wound image enclosed)

Postby sogood » Fri Feb 24, 2012 5:08 pm

Can't clearly see the detail but the size and depth of the wound doesn't look to be one that'll need skin grafting, nor flap repair. Possible stitches or pack dressing depending whats in those "black" bits. In any case, this is a fresh contaminated wound and now is not the right time to consider skin grafting. Get it dressed (by numerous commercial and traditional options) and wait for it to granulate. The wound will declare itself whether grafting is needed in time.

Heal well!
Bianchi, Ridley, Montague, GT, Garmin and All things Apple :)
RK wrote:And that is Wikipedia - I can write my own definition.
User avatar
sogood
 
Posts: 16968
Joined: Thu Aug 31, 2006 7:31 am
Location: Sydney AU

Re: skin graft or bandage? (warning: wound image enclosed)

Postby jules21 » Fri Feb 24, 2012 8:19 pm

i feel like a woos now.

in my defence, i think the photo doesn't show the depth of the wound - it goes down a fair way. it's really only that little section in the middle that the medicos are worried about. i needed sleep last night and was about to walk out of the hospital when the doc returned and advised me to see plastic surgeon in outpatients. maybe they're being overly cautious?
Image
User avatar
jules21
 
Posts: 8729
Joined: Thu Apr 02, 2009 10:14 pm
Location: deep in the pain cave

Re: skin graft or bandage? (warning: wound image enclosed)

Postby Mulger bill » Fri Feb 24, 2012 8:49 pm

Ewww. Near joints is a right pain when it comes to healing IME, lots of stretching of the parent skin.

Might as well see the plastic bloke Jules, don't mean you have to agree with just one opinion.

Heal quick and clean. :)

Shaun
...whatever the road rules, self-preservation is the absolute priority for a cyclist when mixing it with motorised traffic.
London Boy 29/12/2011
User avatar
Mulger bill
Super Mod
Super Mod
 
Posts: 25866
Joined: Sun Sep 24, 2006 2:41 pm
Location: Sunbury Vic

Re: skin graft or bandage? (warning: wound image enclosed)

Postby wombatK » Fri Feb 24, 2012 8:59 pm

Ken Ho wrote:The king though, is Hypafix, also known as Fixomuls or Mefix. It sticks like shOwtime to a blanket, can get wet and dry again, and allows new skin to form under it. Just put a few layers on in small pieces to avoid creasing, and leave it for a week. You will be amazed at how it heals under that...
If you carry one piece of gear for first-aid on a bike, let it be a piece of Hypafix.

So where do you get it ? When I asked at local chemists, the best I got was blank stares; some made me feel like an alien
who'd come to take their first born away :roll:
WombatK

Somebody has to do something, and it's just incredibly pathetic that it has to be us -Jerry Garcia
User avatar
wombatK
 
Posts: 5214
Joined: Thu Jul 10, 2008 9:08 pm
Location: Yagoona, AU

Re: skin graft or bandage? (warning: wound image enclosed)

Postby sogood » Fri Feb 24, 2012 9:14 pm

wombatK wrote:So where do you get it ? When I asked at local chemists, the best I got was blank stares; some made me feel like an alien
who'd come to take their first born away :roll:

There are way too many commercial options out there with more coming all the time. It's not realistic to expect chemist to know them all. Fact is, outcome varies little.
Bianchi, Ridley, Montague, GT, Garmin and All things Apple :)
RK wrote:And that is Wikipedia - I can write my own definition.
User avatar
sogood
 
Posts: 16968
Joined: Thu Aug 31, 2006 7:31 am
Location: Sydney AU

skin graft or bandage? (warning: wound image enclosed)

Postby Dr_Mutley » Fri Feb 24, 2012 11:54 pm

Just rub some dirt on it and get on with it!

Jk!

Should heal fine... Keep it clean & semi moist... Anything from the chemist to facilitate that should be fine....
Image
Dr_Mutley
 
Posts: 2192
Joined: Fri Jan 11, 2008 1:28 pm
Location: Flagstaff Hill, Adelaide SA 5159

Re: skin graft or bandage? (warning: wound image enclosed)

Postby Semar » Sat Feb 25, 2012 9:08 am

Why have you taken so long to remove chunks of skin to that depth? Never been on a mountain bike? You'll have a scar of which to be proud! Nerve ending damage will ensure less pain next time. :wink:
It’s more like our thoughts are thinking us than we are thinking them.
User avatar
Semar
 
Posts: 2930
Joined: Wed Jan 05, 2011 5:14 pm
Location: Goulburn Valley

Re: skin graft or bandage? (warning: wound image enclosed)

Postby Semar » Sat Feb 25, 2012 9:10 am

If you run out of non-stick bandages, you'll be able to explore your falsetto capabilities. :shock:
It’s more like our thoughts are thinking us than we are thinking them.
User avatar
Semar
 
Posts: 2930
Joined: Wed Jan 05, 2011 5:14 pm
Location: Goulburn Valley

Re: skin graft or bandage? (warning: wound image enclosed)

Postby matagi » Sat Feb 25, 2012 3:50 pm

wombatK wrote:
Ken Ho wrote:The king though, is Hypafix, also known as Fixomuls or Mefix. It sticks like shOwtime to a blanket, can get wet and dry again, and allows new skin to form under it. Just put a few layers on in small pieces to avoid creasing, and leave it for a week. You will be amazed at how it heals under that...
If you carry one piece of gear for first-aid on a bike, let it be a piece of Hypafix.

So where do you get it ? When I asked at local chemists, the best I got was blank stares; some made me feel like an alien
who'd come to take their first born away :roll:

You can get just as good a result using OpSite Post Op which most chemists should know of (some will actually have it in stock). It isn't quite as tenacious as Hypafix/Fixomull/Mefix so it tends to peel off quicker and therefore need replacing more frequently but it will do the job.
User avatar
matagi
 
Posts: 208
Joined: Thu Jan 26, 2006 7:52 am
Location: In a parallel universe

Re: skin graft or bandage? (warning: wound image enclosed)

Postby foo on patrol » Sat Feb 25, 2012 4:10 pm

Bandage and heal Jules. :wink:

I had one on my knee that was the size of that and the Doctors at Bundy hospital said that I would need plastic surgery/skin grafts because you could
see the white tissue, that I'm guessing was fat. :shock: I can't even see where it was now, but it did take ages for it to heal properly. :(

Foo
I don't suffer fools easily and so long as you have done your best,you should have no regrets.
Goal 6000km
Image
User avatar
foo on patrol
 
Posts: 4487
Joined: Sat Dec 19, 2009 10:12 am
Location: Sanstone Point QLD

Re: skin graft or bandage? (warning: wound image enclosed)

Postby U2adam!!! » Sat Feb 25, 2012 5:20 pm

I admit it... I only clicked on this topic because of the image warning and have nothing beneficial to add. :oops:

Tim
Image
User avatar
U2adam!!!
 
Posts: 199
Joined: Mon Jul 14, 2008 2:30 pm
Location: Southern suburbs of Adelaide

Re: skin graft or bandage? (warning: wound image enclosed)

Postby Percrime » Sun Feb 26, 2012 9:31 pm

+1 for mefix. Us trackies know such things
Percrime
 
Posts: 986
Joined: Thu Jan 29, 2009 8:41 am

Re: skin graft or bandage? (warning: wound image enclosed)

Postby jules21 » Sun Feb 26, 2012 10:04 pm

Semar wrote:Why have you taken so long to remove chunks of skin to that depth? Never been on a mountain bike? You'll have a scar of which to be proud! Nerve ending damage will ensure less pain next time. :wink:

i've done my share and i've always just bandaged them, but this one was deep. the photo doesn't really give perspective but there's a big hole dug out of my elbow. nurses/doctors have variously responded with "it will definitely won't/might need a skin graft" they can't make their minds up, lol. it's feeling pretty good so if i reckon it's healing up i will cancel my outpatient appt. for tuesday.
Image
User avatar
jules21
 
Posts: 8729
Joined: Thu Apr 02, 2009 10:14 pm
Location: deep in the pain cave

Next

Return to Cycling Health

Who is online

Users browsing this forum: No registered users



Popular Bike Shops
Torpedo 7 Torpedo7 AU
Ground Effect Ground Effect NZ
Chain Reaction Cycles CRC UK
Wiggle Wiggle UK
Ebay Ebay AU

“Bicycles BNA Twitter
“Bicycles BNA Facebook
“Google+ BNA Google+
“Bicycles BNA Newsletter

> FREE BNA Stickers
> BNA Cycling Kit