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December 14, 2017  
REFERENCE: Ask an Expert

Below are some of the most-recently-answered questions from our Medical Experts. We recommend you read over these questions to see if your question has already been answered.

I fractured and dislocated my right ankle in an auto accident. When the cast was taken off I had a large wound on my inner ankle area. The doctor called it a fracture blister. Looking through your website it seems to be similar to what you discribe as a pressure ulcer. The largest area seems to be healing well the ulcerated area has healed over and the new pink skin is getting smaller. There is one spot however that doesn't seem to be healing. A smaller area that is much deeper and changes from being puss covered when covered to raw but dry when left uncovered. I have been putting neosporen on it 2 to 3 times a day, covering it when I am out and about with my brace on and leaving in open to air when at home. The deaper area seems to be getting a little larger every few days and I don't know whether to be concerned or if I should change my care.

Dr. Swanson
Terry Swanson Terry Swanson is a Wound Management Consultant at South West Healthcare, Warrnambool, Victoria, Australia. Terry completed her nursing in Springfield, Illinois and was a Neurosurgical nurse before immigrating to Australia in 1988. She developed an interest in perioperative nursing and wound management in the early 90’s. Terry completed her post-graduate education in 1996 and was appointed as a wound management consultant in 1997 at South West Healthcare. She manages a nurse-led regional and outpatient wound management service. Terry was a successful candidate for the Nurse Practitioner Victorian Project in 1999/2000 and will be seeking endorsement as a Nurse Practitioner (Wound Management) in 2001. Terry is active professionally by participating on various state and national committees. She is the Vice President of the Australian Wound Management Association, as well as the immediate past president of the Victorian Wound Management Association.

Terry is currently undertaking study at the University of South Australia, completing a Masters level advanced pharmacology course. Her professional interests include education, mentoring, lecturing, and advocating for nursing and patient's rights.

Pressure or the cast rubbing your skin could cause the wounds that you describe. It sounds as if most of the ulcers are now healing and that is what you would expect in a healthy individual. You do not specify your age or any medical conditions, which could influence the rate of healing. A deeper wound does take longer to heal than a shallow wound. You should see your doctor if the wound does not improve. The wound may require a different dressing that is more appropriate for the type, condition and size of the wound. It is good that you are covering the wound when you go out, but it would be better if a dressing was worn all the time. There are several types of dressings to choose from and your doctor, nurse or pharmacist should be able to help you make an appropriate choice. Terry Swanson RN WMC

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