Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

If scar tissue is over a weight-bearing surface, what consideration should be taken?

1. Refer to physical therapy for exercises

2. Consider a myocutaneous flap and refer to plastic surgery

3. Apply steroid cream regularly

4. Leave the scar untreated

The correct answer is: Consider a myocutaneous flap and refer to plastic surgery

When dealing with scar tissue over a weight-bearing surface, the choice to consider a myocutaneous flap and refer to plastic surgery is particularly important. Scar tissue in these areas can significantly restrict mobility, cause discomfort, and lead to functional impairment. A myocutaneous flap, which involves transferring a portion of muscle and overlying skin to the affected area, can help in providing better flexibility and reducing the tension that often accompanies scar tissue. This surgical option not only re-establishes the skin's elasticity but also promotes better functional outcomes, especially in areas that experience pressure and movement. In this context, while physical therapy can be beneficial for rehabilitation and strengthening exercises, it may not adequately address the underlying issues related to the scar's appearance and functionality. Applying steroid cream can help manage some symptoms related to scarring, such as inflammation or itching, but it does not address functional impairment. Leaving the scar untreated may lead to further complications and does not provide any therapeutic benefit. Thus, considering surgical intervention and referring the patient to a specialist ensures a comprehensive approach to managing the challenges posed by scar tissue in weight-bearing areas.