A tensiometer to measure wound tensile strength in situ

Thompson, Lewis W.; Zook, Elvin G.; Hugo, Norman E.

doi:10.1016/0022-4804(69)90133-4

Cited by 7 publications

(6 citation statements)

References 5 publications

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“…Many different tensiometers have been developed in studies to measure wound tension 6 7 but most have been cumbersome, non-portable and use clamps – the placement of which becomes very user-dependent. Thompson and others reported an improved design of a tensiometer to study irradiated wounds in rabbits, but images of their device show a large non-portable device 8 . Spring loaded sensors have also been developed to measure the force on a tensioned suture inside a closed incision and to measure the pulling force used to close the incision 9 – however, once again results are variable due to variability of knot-tying techniques of sutures used.…”

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confidence: 99%

A New Skin Tensiometer Device: Computational Analyses To Understand Biodynamic Excisional Skin Tension Lines

Paul

Matulich

Charlton

2016

Sci Rep

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One of the problems in planning cutaneous surgery is that human skin is anisotropic, or directionally dependent. Indeed, skin tension varies between individuals and at different body sites. Many a surgeon has tried to design different devices to measure skin tension to help plan excisional surgery, or to understand wound healing. However, many of the devices have been beset with problems due to many confounding variables - differences in technical ability, material (sutures) used and variability between different users. We describe the development of a new skin tensiometer that overcomes many historical technical issues. A new skin tension measuring device is presented here. It was designed to be less user-dependent, more reliable and usable on different bodily sites. The design and computational optimizations are discussed. Our skin tensiometer has helped understand the differences between incisional and excisional skin lines. Langer, who pioneered the concept of skin tension lines, created incisional lines that differ from lines caused by forces that need to be overcome when large wounds are closed surgically (excisional tension). The use of this innovative device has led to understanding of skin biomechanics and best excisional skin tension (BEST) lines.

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confidence: 99%

A New Skin Tensiometer Device: Computational Analyses To Understand Biodynamic Excisional Skin Tension Lines

Paul

Matulich

Charlton

2016

Sci Rep

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“…The mean 50% tensile strength of absorbable suture varies from 2‐9 weeks . The measurement of the wound tension is difficult, and many devices have been invented including skin tensiometer . The tensile strength is dependent on various factors.…”

Section: Discussionmentioning

confidence: 99%

“…First is the ability of 15 The measurement of the wound tension is difficult, and many devices have been invented including skin tensiometer. [16][17][18] The tensile strength is dependent on various factors. The tensile strength of the wound increases gradually.…”

Section: Discussionmentioning

confidence: 99%

Measurements of tension on wound edges after strip harvest surgery

Malik¹

2018

J of Cosmetic Dermatology

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“…Die Annahme, dab dem Vorgang der Polymersation der Kollagenvorlgufer zu Kollagen und der Ausrichtung der kollagenen Fasern (BILLINGHAMund MEDAWAR, 1955;GRILLO und GROSS, 1959;LUCCIOLI et al, 1964) GRILL0 und GROSS, 1959;JAMES, 1969 , verwendet (MILCH, 1965;NAGY und ZINGG, 1971;THOMPSON et al, 1969). VAN WINKLE, 1969).…”

Section: Als Folge Einer Ganzksrperbestrahlung Wird Die Proteinsyntheunclassified

“…ReiBfestigkeit eine langsam zunehmende Belastung ausHben (GRAY und CALDWELL, 1967;LEHMAN und WHITE, 1070;THOMPSON et al, 1969).…”

Section: Als Folge Einer Ganzksrperbestrahlung Wird Die Proteinsyntheunclassified

Zur Frage der Umwandlung haematogener Monozyten zu Fibroblasten in heilenden Wunden

Krupp

1976

Res. Exp. Med.

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Recent investigations of HELPAP and CREMER 1972 seem to confirm the supposition of COHNHEIM 1867 that monocytes of the peripheral blood are transformed into firbroblasts in healing wounds. The view of VIRCHOW 1871, MARCHAND 1901 and ASCHOFF 1924 that the fibroblasts in healing wounds are of local origin seems to be supported by the invesigation on parabiotic inbred rats of ROSS et al. 1970. We thought that irradiating the whole body of rabbits could be of value in resolving these apparent contradictions about the origin of fibroblasts in healing wounds.

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A tensiometer to measure wound tensile strength in situ

Cited by 7 publications

References 5 publications

A New Skin Tensiometer Device: Computational Analyses To Understand Biodynamic Excisional Skin Tension Lines

A New Skin Tensiometer Device: Computational Analyses To Understand Biodynamic Excisional Skin Tension Lines

Measurements of tension on wound edges after strip harvest surgery

Zur Frage der Umwandlung haematogener Monozyten zu Fibroblasten in heilenden Wunden

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