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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Silicone plate for retractile scars: Does it modify functional activities?

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  • presenting/speaker Denise Conterjnic - Grupo Médico Lomas de San Isidro, Buenos Aires, Argentina

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1260

doi: 10.3205/19ifssh1476, urn:nbn:de:0183-19ifssh14762

Published: February 6, 2020

© 2020 Conterjnic.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: To determine the effect of the use of silicone plates on retractil scars from distal radius fracture's surgery, considering cosmetic, mechanical and functional points of view.

Materials and Methods: We present 32 patients operated on distal radius fracture, between March 1 to August 7 2018. Sample: 8 patients. Criteria of inclusion: Women from 30 to 65 years old, intradermal suture, retractil scar. Group 1: 4 patients. Treated with Lenox silicone plates, size 10x5 cm, with mineral oil, held with Surgifix No. 3. Week 1 to 3: 23.5 hours per day. Week 4 to 6: 18 hs. Week 7 and 8: 12 hs. Week 9 and 10: overnight use. The plate had to be washed once a day with warm water and neutral soap, and dried without rubbing. The plate wad changed after the 5th week. During the intervals the plate was kept wrapped in a protective film.

Group 2: Without any compression.

Results: G1: Considering cosmetic point of view we differentiate 2 variables: Volume: 100% decreased. Color: hyperemia disappeared in all cases. From the mechanical point of view we consider: Fibrosis: 100% improved. Adhesions: 50% improved.

G2: There were no changes in Volume nor Color. Fibrosis: improved 25%. Adherence: 50% improved. The functional aspect (DASH) did not present significative differences at day 90 (Averages: G1: 28.5, G2: 27.25)

Conclusions:

1.
The silicone plate improved the cosmetic appearance of the scars in all cases.
2.
The scars did not improve their cosmetic appearance without the use of the silicone plate in the first 90 days.
3.
Silicone plate did not significantly modify scar adhesions.
4.
The characteristics of the scar did not interfere with the performance of functional activities.