Surgery · Wound Healing, Plastic and Reconstructive Surgery

A surgical incision closed primarily regains tensile strength gradually during remodeling. Approximately what percentage of its original pre-injury tensile strength does the wound have at the end of the first week?

  • A About 5 percent
  • B About 50 percent
  • C About 10 percent
  • D About 90 percent
Correct answer: C. About 10 percent

Explanation

By the end of the first week a healing incision has only about 10 percent of its original tensile strength, which is why early suture removal risks dehiscence. Strength rises to roughly 50 percent by 4 weeks and plateaus at about 70 to 80 percent, never reaching normal. The distractor of 50 percent corresponds to the one-month figure, not the first-week figure.

Reference: Robbins and Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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