Surgery · Wound Healing, Plastic and Reconstructive Surgery

A surgical incision has fully matured after many months of scar remodeling. What is the maximum percentage of its original pre-injury tensile strength that the healed wound can ever regain?

  • A 50%
  • B 65%
  • C 80%
  • D 100%
Correct answer: C. 80%

Explanation

Wound tensile strength rises rapidly in the first weeks, reaching about 20% of normal by 3 weeks, but plateaus at approximately 80% of the original strength even after full maturation over months to a year. This plateau reflects the disorganized architecture of scar collagen compared with normal dermis. The scar never regains 100% strength, which is why old scars can still dehisce under extreme stress.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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