Is skin glue suitable for a superficial shin laceration (cut) after a fall?

Skin Glue for Superficial Shin Laceration

Skin glue is suitable and recommended for your superficial shin scrape as it provides effective closure with less pain and faster healing compared to sutures. 1

Assessment and Wound Preparation

Before applying skin glue, ensure:

• The wound is superficial (not extending beyond dermis)
• Bleeding is controlled/hemostatic
• The wound is clean with no signs of infection
• The wound edges can be easily approximated

Proper preparation steps:

1. Clean the wound thoroughly with betadine or chlorhexidine 2
2. Ensure the wound base is completely dry (essential for proper adhesion) 2
3. Approximate wound edges carefully

Benefits of Skin Glue for Superficial Wounds

Skin glue (cyanoacrylate tissue adhesive) offers several advantages:

• Shorter procedure time compared to suturing 2, 3
• Less pain during application and healing 2, 4
• Forms a waterproof protective coating 3
• No need for suture removal 3
• Similar cosmetic outcomes to traditional suturing 3, 4
• Reduced need for local anesthetic 2

Application Technique

For optimal results:

• Apply the thinnest possible layer that will seal the wound 2
• Keep wound edges precisely aligned during application
• Allow the adhesive to dry completely before allowing movement
• Avoid applying excessive amounts that might run into unwanted areas

Limitations and Precautions

Skin glue may not be ideal for:

• Wounds over highly mobile areas like joints 5
• Areas with high friction or usage (hands/feet) 5
• Deep wounds requiring layered closure

Aftercare Instructions

• Keep the area dry for 24-48 hours
• Do not scrub or pick at the adhesive
• The glue will naturally slough off in 7-14 days 5
• Keep the wound hydrated and protected from sun exposure for proper healing 1
• Return for evaluation if signs of infection develop (increasing redness, warmth, swelling, purulent discharge)

Potential Complications

While generally safe, be aware of:

• Slightly higher risk of wound dehiscence compared to sutures (NNH 25) 4
• Potential for local skin irritation or erythema 4

For your superficial shin scrape, skin glue provides an excellent balance of convenience, comfort, and effective healing, making it an appropriate choice for wound closure.