1) Wash the wound gently with normal saline (or clean running water) - do not scrub, and avoid hydrogen peroxide or spirit directly in the wound as they damage healing tissue. 2) Pat dry, apply a thin layer of T-bact (mupirocin) ointment twice daily. 3) Cover with a sterile non-stick pad and light gauze/paper tape; change once daily, or sooner if it becomes wet or soiled. Do not wrap it tightly - circulation at the ankle is already reduced at his age. 4) No repeat TT needed if the December dose is documented and the wound is clean; if the wound was contaminated with soil, wood splinters or rust, or if you are unsure of the earlier dose, have him seen today so the doctor can decide about TT and immunoglobulin. 5) Ensure no wooden splinter is retained inside - if there is any doubt, it must be examined and cleaned, as a retained splinter guarantees infection. 6) Keep the leg elevated when sitting, encourage gentle walking, and check daily for spreading redness, swelling, pus or a foul smell. 7) Adequate protein, and if he is diabetic, keep sugars well controlled - both directly determine healing speed. 8) Get it reviewed in person if it has not shown clear improvement in 5-7 days, if it is more than about 1 cm deep or gaping, or at any sign of infection. 9) Also review why he hit the table - falls and furniture bumps at 87 warrant a check of vision, balance, BP and home safety. You are welcome to consult me on Practo with a photo of the wound, or in person at Synergy Multispeciality Hospital, Miraj.

Word of caution: seek medical care urgently if there is spreading redness or a red streak going up the leg, increasing pain, swelling, pus, foul smell, fever, blackening of the wound edges, numbness, or if he develops jaw stiffness, difficulty opening the mouth or muscle spasms. Avoid Neosporin if he has ever reacted to neomycin, do not apply turmeric, oils or powders to an open wound, and do not start oral antibiotics without a doctor's advice at his age.