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Tension offloading improves cutaneous scar formation in Achilles tendon repair
Hypertrophic scar formation and non-healing wounds following Achilles tendon repair arise from poor vascularity to the incisional site or from excess mechanical stress/strain to the incision during the healing process. The embrace® scar therapy dressing is a tension offloading device for incisional...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907408/ https://www.ncbi.nlm.nih.gov/pubmed/35280050 http://dx.doi.org/10.1093/jscr/rjac066 |
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author | Abbas, Darren B Lintel, Hendrik Griffin, Michelle Guardino, Nicholas J Guo, Jason L Spielman, Amanda F Cotterell, Asha C Parker, Jennifer B L Januszyk, Michael Wan, Derrick C |
author_facet | Abbas, Darren B Lintel, Hendrik Griffin, Michelle Guardino, Nicholas J Guo, Jason L Spielman, Amanda F Cotterell, Asha C Parker, Jennifer B L Januszyk, Michael Wan, Derrick C |
author_sort | Abbas, Darren B |
collection | PubMed |
description | Hypertrophic scar formation and non-healing wounds following Achilles tendon repair arise from poor vascularity to the incisional site or from excess mechanical stress/strain to the incision during the healing process. The embrace® scar therapy dressing is a tension offloading device for incisional scars. This study explored the effects of tension offloading during Achilles scar formation. A healthy 30-year-old male without any medical co-morbidities developed an acute rupture of his left Achilles tendon. The patient underwent open repair 1 week after injury. At post-operative day (POD) 14, the patient started daily tension offloading treatment on the inferior portion of the incision through POD 120. By POD 120, the untreated portion of the Achilles incision appeared hypertrophic and hyperpigmented, while the treated portion of the scar appeared flat with minimal pigmentation changes. The 12-week treatment of tension offloading on an Achilles tendon repair incision significantly improved cosmesis compared to untreated incision. |
format | Online Article Text |
id | pubmed-8907408 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-89074082022-03-10 Tension offloading improves cutaneous scar formation in Achilles tendon repair Abbas, Darren B Lintel, Hendrik Griffin, Michelle Guardino, Nicholas J Guo, Jason L Spielman, Amanda F Cotterell, Asha C Parker, Jennifer B L Januszyk, Michael Wan, Derrick C J Surg Case Rep Case Report Hypertrophic scar formation and non-healing wounds following Achilles tendon repair arise from poor vascularity to the incisional site or from excess mechanical stress/strain to the incision during the healing process. The embrace® scar therapy dressing is a tension offloading device for incisional scars. This study explored the effects of tension offloading during Achilles scar formation. A healthy 30-year-old male without any medical co-morbidities developed an acute rupture of his left Achilles tendon. The patient underwent open repair 1 week after injury. At post-operative day (POD) 14, the patient started daily tension offloading treatment on the inferior portion of the incision through POD 120. By POD 120, the untreated portion of the Achilles incision appeared hypertrophic and hyperpigmented, while the treated portion of the scar appeared flat with minimal pigmentation changes. The 12-week treatment of tension offloading on an Achilles tendon repair incision significantly improved cosmesis compared to untreated incision. Oxford University Press 2022-03-09 /pmc/articles/PMC8907408/ /pubmed/35280050 http://dx.doi.org/10.1093/jscr/rjac066 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Abbas, Darren B Lintel, Hendrik Griffin, Michelle Guardino, Nicholas J Guo, Jason L Spielman, Amanda F Cotterell, Asha C Parker, Jennifer B L Januszyk, Michael Wan, Derrick C Tension offloading improves cutaneous scar formation in Achilles tendon repair |
title | Tension offloading improves cutaneous scar formation in Achilles tendon repair |
title_full | Tension offloading improves cutaneous scar formation in Achilles tendon repair |
title_fullStr | Tension offloading improves cutaneous scar formation in Achilles tendon repair |
title_full_unstemmed | Tension offloading improves cutaneous scar formation in Achilles tendon repair |
title_short | Tension offloading improves cutaneous scar formation in Achilles tendon repair |
title_sort | tension offloading improves cutaneous scar formation in achilles tendon repair |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907408/ https://www.ncbi.nlm.nih.gov/pubmed/35280050 http://dx.doi.org/10.1093/jscr/rjac066 |
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