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Smart Scar Care-Industry 4.0 in Individualized Compression Garments: A Randomized Controlled Crossover Feasibility
Tobias Kisch1, Felix H Stang1, Peter Mailaender1
1Klinik für Plastische Chirurgie, Handchirurgie und Intensivstation für Schwerbrandverletzte, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Germany.
Plastic and Reconstructive Surgery. Global Open
|August 9, 2021
Summary
Automatically knitted compression garments (CG) using 3D body-scan data (3DBSD) offer a feasible and potentially faster alternative for scar treatment compared to traditional methods. This personalized approach shows promise for improved patient care and objective scar research.
Area of Science:
- Medical technology
- Personalized medicine
- Scar treatment
Background:
- Industry 4.0 is advancing personalized medicine in surgical applications.
- Compression garments (CG) are increasingly important in scar therapy.
- Evaluating automated knitting from 3D body-scan data (3DBSD) for CG production is crucial.
Purpose of the Study:
- To assess the workflow and comparability of CGs knitted from 3DBSD versus manually measured data.
- To compare automated CG production with the current standard of care for scar treatment.
- To evaluate the feasibility of a "scan-to-knit" workflow for personalized scar therapy.
Main Methods:
- A randomized controlled crossover feasibility study involving 10 patients with hypertrophic burn scars.
- CGs were automatically knitted from 3DBSD and compared with those from manual measurements.
- Objective and patient-reported outcomes were assessed at baseline and after one month of CG use.
Main Results:
- The "scan-to-knit" workflow was feasible in all 10 patients with no adverse effects.
- 3DBSD exhibited a slight bias compared to manual measurements, with wider limits of agreement.
- Pilot results indicated promising fit, comfort, and suitability, with increased stiffness and altered microcirculation in scars.
Conclusions:
- Automatically knitted CGs using 3DBSD present a viable alternative to standard care, offering potential for cost-effectiveness and speed.
- This technology supports personalized scar treatment and facilitates objective scar science research.
- Further investigation is warranted to fully establish the benefits of 3DBSD-derived CGs in scar management.
