Systematische Analyse des Kompressionsdruckes in der Kompressionstherapie zur Narbenbehandlung im Kindesalter mittels des Kikuhime®-Drucksensors

Abstract

Burns and scalds are among the most common trauma in childhood and more often than not lead to hypertrophic scarring. Compression therapy is one of the main concepts in the prophylaxis and therapy for hypertrophic scars. However, the mode of action and the optimal pressure are still unknown. In this study, we evaluated the possibility of measuring the pressure under compression garments with a simple pressure measuring device. The pressure under the compression garments was measured with the Kikuhime®-Subbandage & Body Pressure Measuring Device. (1) Patient's age or sex did not make any significant difference. (2) Mean detected pressure was 25.7 mmHg. (3) The mean pressure was as follows: upper limb: 27 mmHg, lower limb: 30 mmHg, thorax: 19 mmHg, abdomen: 21 mmHg, neck: 19 mmHg and face: 16 mmHg. (4) Long-term results showed a clear decrease in pressure (12.15 %) during a period of 8 weeks. (5) A compression that was incorrectly fitted or incorrectly measured led to significantly worse results. Compression garments used in the therapy for hypertrophic scars must be individually fitted in order to guarantee a sufficient pressure of on average 26 mmHg. Incorrectly measured compression garments lead to the development of highly hypertrophic scars. Our results also showed that compression garments must be changed regularly because of the natural loss of pressure. Only an individual compression therapy can guarantee perfect cosmetic as well as surgical results.