Format

Send to

Choose Destination
J Hand Ther. 2014 Jan-Mar;27(1):44-8. doi: 10.1016/j.jht.2013.10.008. Epub 2013 Nov 6.

Acetic acid iontophoresis for recalcitrant scarring in post-operative hand patients.

Author information

1
Harvard Medical School, Boston, MA, USA; Beth Israel Deaconess Medical Center, Department of Orthopaedic Surgery, Boston, MA, USA.
2
Harvard Medical School, Boston, MA, USA; Beth Israel Deaconess Medical Center, Department of Orthopaedic Surgery, Boston, MA, USA; Harvard College, Cambridge, MA, USA.
3
Beth Israel Deaconess Medical Center, Department of Orthopaedic Surgery, Boston, MA, USA; Harvard College, Cambridge, MA, USA.
4
Beth Israel Deaconess Medical Center, Department of Orthopaedic Surgery, Boston, MA, USA.
5
Harvard Medical School, Boston, MA, USA; Beth Israel Deaconess Medical Center, Department of Orthopaedic Surgery, Boston, MA, USA. Electronic address: cday1@bidmc.harvard.edu.

Abstract

STUDY DESIGN:

Retrospective cohort comparison.

INTRODUCTION:

Using acetic acid iontophoresis (AAI) as a treatment modality significantly improved the functionality of hand in patients with recalcitrant scarring.

METHODS:

Open trigger finger release patients followed up exclusively at a hand clinic between 2009 and 2011 were analyzed. Group I recovered optimal total active range of motion (TAM) after 14 standard of care (SOC) therapy sessions but Group II (10 digits) could only reach optimal recovery after 7 additional AAI sessions.

RESULTS:

After SOC therapy, Group I's TAM recovery plateaued at 245 and Group II's at 219 (p < 0.01). After undergoing AAI, the TAM of Group II increased from 219 to 239 (p < 0.01).

DISCUSSION:

Clinical studies suggest that AAI can modify collagen structure in scars. AAI could be a novel non-surgical treatment for restoring functionality to areas affected by difficult, recalcitrant scars.

CONCLUSION:

AAI significantly improved the TAM of hand surgical patients who could not recover optimally with SOC therapy alone.

LEVEL OF EVIDENCE:

Level 3.

KEYWORDS:

Acetic acid; Lontophoresis; Scar therapy; Total active range of motion; Trigger finger

PMID:
24373451
DOI:
10.1016/j.jht.2013.10.008
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center