{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:19:57Z","timestamp":1783441197403,"version":"3.54.6"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T00:00:00Z","timestamp":1646784000000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Hypertrophic scar formation and non-healing wounds following Achilles tendon repair arise from poor vascularity to the incisional site or from excess mechanical stress\/strain to the incision during the healing process. The embrace\u00ae scar therapy dressing is a tension offloading device for incisional scars. This study explored the effects of tension offloading during Achilles scar formation. A healthy 30-year-old male without any medical co-morbidities developed an acute rupture of his left Achilles tendon. The patient underwent open repair 1 week after injury. At post-operative day (POD) 14, the patient started daily tension offloading treatment on the inferior portion of the incision through POD 120. By POD 120, the untreated portion of the Achilles incision appeared hypertrophic and hyperpigmented, while the treated portion of the scar appeared flat with minimal pigmentation changes. The 12-week treatment of tension offloading on an Achilles tendon repair incision significantly improved cosmesis compared to untreated incision.<\/jats:p>","DOI":"10.1093\/jscr\/rjac066","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T20:10:39Z","timestamp":1646338239000},"source":"Crossref","is-referenced-by-count":3,"title":["Tension offloading improves cutaneous scar formation in Achilles tendon repair"],"prefix":"10.1093","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5218-1665","authenticated-orcid":false,"given":"Darren B","family":"Abbas","sequence":"first","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik","family":"Lintel","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Griffin","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas J","family":"Guardino","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason L","family":"Guo","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda F","family":"Spielman","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asha C","family":"Cotterell","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer B L","family":"Parker","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Januszyk","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick C","family":"Wan","sequence":"additional","affiliation":[{"name":"Hagey Laboratory for Pediatric Regenerative Medicine, Stanford University School of Medicine, Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,3,9]]},"reference":[{"key":"2022031004481985300_ref1","volume-title":"StatPearls","author":"Shamrock","year":"2021"},{"key":"2022031004481985300_ref2","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1111\/sms.12209","article-title":"Achilles tendon rupture \u2013 treatment and complications: a systematic review","volume":"25","author":"Holm","year":"2015","journal-title":"Scand J Med Sci Sports"},{"key":"2022031004481985300_ref3","article-title":"Outcomes and complications of open versus minimally invasive repair of acute Achilles tendon ruptures: a systematic review and meta-analysis of randomized controlled trials","author":"Attia","journal-title":"Am J Sports Med"},{"key":"2022031004481985300_ref4","doi-asserted-by":"crossref","DOI":"10.3402\/dfa.v2i0.7483","article-title":"Distal posterior tibial artery 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