Managing Surgical Scars After Orthopedic Procedures: Keloid Prevention and Treatment

Surgical scars are a normal part of recovery after major orthopaedic procedures, such as a total knee replacement or hip replacement surgery in Singapore. While most scars fade, some become thick and raised. These are known as keloids. Knowing how to care for your wound and recognising early signs of keloid formation can support better healing and long term results.

Understanding Keloid Scars After Surgery

Keloids form when excess collagen builds up during healing, creating raised scar tissue that grows beyond the original incision. Unlike hypertrophic scars, which stay within the wound and often flatten with time, keloids extend past the original site and rarely improve without treatment. Most develop within a few months, though some may take up to a year to appear.

Risk Factors for Keloid Development

Several factors may increase the risk of keloid formation after orthopaedic surgery:

Previous keloid formation
If you have developed keloids after past injuries or surgeries, you are more likely to form them again.

Age and hormones
Teenagers and young adults face a higher risk. Women may also be more prone during pregnancy due to hormonal changes.

Surgical site
Incisions over joints, the chest, shoulders, and other areas with high skin tension are more likely to develop keloids.

Prevention Strategies During Recovery

Simple measures during recovery can lower the risk of keloid or thickened scars:

Keep the wound clean and dry
Follow dressing instructions and avoid touching scabs or stitches.

Use silicone gel after wound closure
Start applying silicone sheets or gel once the incision has fully healed, usually after two to three weeks.

Avoid tension on the incision
Limit stretching or movement at the surgical site for six to eight weeks.

Protect the scar from sunlight
Cover the area or use sunscreen for at least six months to prevent darkening.

Managing Keloids After Surgery

While treating keloid scars is not part of standard orthopaedic care, these scars can be a concern after procedures involving the shoulder, chest, or back. If a keloid forms and causes discomfort or affects movement, your doctor may refer you to a specialist. You can also explore options for a comprehensive keloid treatment guide to learn more about available therapies and next steps. 

When to Seek Medical Advice

Prompt attention to scar issues can prevent complications and support better outcomes:

Abnormal healing: Contact your doctor if there is redness, warmth, or discharge beyond the first week after surgery.

Scar growth: Get evaluated if the scar grows beyond the incision or thickens more than three months after surgery.

Ongoing symptoms: Pain, itching, or burning in a healed scar may suggest keloid formation.

Movement restriction: Scars that limit joint motion or daily function should be assessed early.

Conclusion

Most surgical scars heal well with proper care. Staying consistent during recovery and addressing scar concerns early can help improve both appearance and function.

If you notice unusual changes in your scar or have questions about healing, speak with your orthopaedic surgeon in Singapore. They can assess the issue and guide you on whether further treatment is needed.