The Management of Surgical Scars Around Knee After Pediatric Orthopedic Surgery: an Observational, Case-control Study

Chang Gung Medical Foundation

Status: Unknown

Conditions: Surgical Scar

Treatments: Other: Scar dressing group; Other: Regular care group

Study type: Observational

Funder types: Other

Identifiers

NCT04928443

202100112B0A3

Details and patient eligibility

About

Scar is an unpleasant symptom that commonly appear after orthopedic surgery, especially the joint procedure. Due to the wide motion range, skin around joint has excessive tension that may increase risk for wide or conspicuous scar formation of surgical wound. Noticeable scar can negatively impact the quality of life and psychosocial development. However, scar management is overlooked in early recovery period easily. Patients commonly start to turn their attention to the surgical scar after the completion of rehabilitation or the resolution of disease or unbearable symptom. It is always beyond the best period of scar treatment, 3 to 6 months after wound healing. This study is aimed to observe and evaluate the scar formation with or without aggressive management in pediatric population within 6 months after wound healing.

Full description

This is an observational, case-control study. Patients will be invited to participate and allocated to scar dressing group if they plan to use scar dressing. After gaining the written inform consent, participants will be asked to fulfill the patient diary, including the record of scar dressing use, patient scar assessment scale and satisfaction assessment, with parents' help. In regular group, patients are retrospectively selected by matched factors, such as demographics data. Scar-related data, including scar pictures, vancouver scar scale assessment and complication, are collected from medical history in both groups.

Enrollment: 40 estimated patients

Sex: All

Ages: 5 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Aged 5 to 18 years
2. Had orthopedic surgery 3 weeks ago and within 6 weeks
3. Had incision sites around the knee
4. All surgical wounds healed completely
5. Length of surgical wounds between 2 and 15 centimeters
6. Planed to treat incisional scar with scar dressing, adhesive tapes, or adhesive strips

Exclusion criteria

1. Surgical wound infection
2. Atopic dermatitis or sensitive skin
3. Not able to make return visits regularly
4. Participation was not appropriate determined by physician

Trial design

40 participants in 2 patient groups

Scar dressing group

Description:

Patients planning to treat surgical scar with scar dressing

Treatment:

Other: Scar dressing group

Regular care group

Description:

Patients treated with adhesive tapes or strips or did not take care of surgical scar.

Treatment:

Other: Regular care group