Minimal Scar Formation After Orthopaedic Skin Incisions Along Main Folding Lines.
Journal
The Journal of bone and joint surgery. American volume
ISSN: 1535-1386
Titre abrégé: J Bone Joint Surg Am
Pays: United States
ID NLM: 0014030
Informations de publication
Date de publication:
06 Mar 2019
06 Mar 2019
Historique:
entrez:
8
3
2019
pubmed:
8
3
2019
medline:
23
10
2019
Statut:
ppublish
Résumé
Patients, particularly those who are young, often develop noticeable orthopaedic scars. In order to achieve minimal scarring, surgeons should attempt to place incisions in skinfolds or skin creases. Optimal incision lines can be determined from the direction of stretch marks (striae distensae), which develop perpendicular to lines of tension or main folding lines. A composite diagram of photographs of 213 individuals with striae distensae was created and compared with 276 images of incisions and scars derived from the Internet. Classically described Langer cleavage lines often run counter to real tension lines and poorly predict the optimal direction for skin incisions. Whenever possible, main folding lines should be utilized as a guide in planning surgical incisions for young patients as well as for correction of problem scars.
Sections du résumé
BACKGROUND
BACKGROUND
Patients, particularly those who are young, often develop noticeable orthopaedic scars. In order to achieve minimal scarring, surgeons should attempt to place incisions in skinfolds or skin creases.
METHODS
METHODS
Optimal incision lines can be determined from the direction of stretch marks (striae distensae), which develop perpendicular to lines of tension or main folding lines. A composite diagram of photographs of 213 individuals with striae distensae was created and compared with 276 images of incisions and scars derived from the Internet.
RESULTS
RESULTS
Classically described Langer cleavage lines often run counter to real tension lines and poorly predict the optimal direction for skin incisions.
CONCLUSIONS
CONCLUSIONS
Whenever possible, main folding lines should be utilized as a guide in planning surgical incisions for young patients as well as for correction of problem scars.
Identifiants
pubmed: 30845033
doi: 10.2106/JBJS.18.00331
pii: 00004623-201903060-00003
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM