Prevention and treatment of scarring after joint replacement surgery


If you’re considering a joint replacement, it’s natural to be concerned about scars. However, with proper preventive and therapeutic efforts, scars can fade over time.

According to Bryan Springer, MD, Fellowship Director of the OrthoCarolina Hip & Knee Center, the appearance of scars should not deter patients from undergoing joint replacement surgery. “In most cases, the scars heal well and leave minimal vertical scars,” says Dr. Springer.

Plus, have a pain-free day and think of all the benefits you can get from increasing your range of motion.

“The benefits far outweigh concerns about the appearance of scars,” adds Dr. Springer.

What affects scarring after surgery

Scars may form during the healing process after surgery, and although scarring is a natural part of the healing process, susceptibility to keloid scars, scar location, and other factors can affect scar appearance and severity. There are several factors that can contribute to your surgery, and the tendency to scar in general.

keloid scar

If you are prone to keloid scars, talk to your doctor or dermatologist. Keloid scars are a type of raised scar that forms on the skin after surgery. It tends to thicken and may extend beyond the boundaries of the original wound.It may also have a shiny or lumpy appearance and may feel tender and itchy.

Keloid scars are not harmful to your health, but you may not like the look or feel of them. Early treatment can help minimize their growth.

Know your risk factors, such as:

  • Having brown or black skin: For unknown reasons, keloids are most common in these patients.
  • Have a family or personal history of keloids: They can run in families – and if you already have one keloid, you are at risk of developing another.
  • Under 30: People in their 20s and 30s are prone to keloids.

In some cases, keloids in joints can develop hard, tight tissue that restricts full movement. Scarring of the skin, however, is usually a cosmetic problem.

surgical site

If you’re replacing a joint, the scar may grow over time due to its location. “Joint surgery scars tend to appear in areas where the skin stretches, such as around the knees and shoulders,” he says. Tina Ulster, M.D., Director of the Washington Institute of Dermatology and Laser Surgery, and Clinical Professor at Georgetown University. “These scars tend to be a little bigger because they are mobile.”

Dr. Ulster tells patients prone to scarring to come in as soon as possible after the sutures are removed (even on the same day) and begin treatment. heals quickly and resembles more normal skin.

How to minimize scars after surgery

There are many scar treatments you can find online, but it’s easy to waste money on something that doesn’t really work. please confirm.

scar cream or vitamin E

Once the incision has gone through the early stages of healing (usually four weeks), Dr. Springer recommends applying a scar cream or vitamin E to reduce the appearance of the scar. Apply daily for two to four weeks, he says.

topical cortisone cream

Dr. Ulster says you can apply hydrocortisone cream as soon as the sutures are removed (or if itching starts) twice a day until the itching subsides. It’s important to keep the incision moist and covered so it doesn’t dry out and allows for optimal healing.

laser surgery

Scars on the surface of the skin can be treated with a vascular laser known as a pulsed dye laser (PDL), Dr. Ulster says. This laser targets the blood vessels of the scar and helps reduce redness, bulkiness, and improve the flexibility of the scar tissue.

“Treatment with PDL can virtually eliminate these scars,” says Dr. Alster.

“Depending on the size and redness of the scar, it can be pretty close to normal skin.”

The cost of each laser treatment (monthly or bimonthly) ranges from $250 to $1,000, depending on the size and number of scars. Dr Ulster says some insurance companies will cover the costs.

what no things to do

Avoid tanning the skin around the joint replacement before surgery.

“If you plan to expose the surgical area to the sun, it’s best to tan before surgery,” says Dr. Ulster. “If you cut skin that has active melanocytes (pigment-producing cells) without sun exposure, you increase your risk of hyperpigmentation. This is skin darkening, which can make scars worse.”

Staying out of the sun is also a best practice. rear Surgery: If there is a scar, the area is more susceptible to sun damage. Exposure may darken the skin and slow the wound healing response. In this case, it may take several months for the blackheads to disappear.

Also, avoid any unnecessary movements (other than, of course, physical therapy or doctor-approved exercises) that stretch the skin around the scar. And while home remedies like aloe vera may moisturize your skin, they won’t necessarily make a difference to scars, says Dr. Ulster.

Conclusion

When it comes to treating scars, it’s important to discuss with your doctor or dermatologist which treatments will work best. please give me.

It’s also important to be aware of risk factors that can exacerbate scarring and make keloids more likely. For example, if he has black or brown skin and his age is between 20 and 30. Before and after your surgery.

Remember, the sooner a scar is addressed, the more likely it is to heal successfully.

Be a more proactive patient with ArthritisPower

ArthritisPower is a patient-led, patient-centered research registry for joint, bone and inflammatory skin diseases. Participate in voluntary health research studies and use the app to track your symptoms, disease activity and medications and share them with your doctor. Learn more and sign up here.





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