Optimal Wound Closure methods can reduce postoperative complications6  

For over a century, Ethicon has transformed healing and we don’t plan to stop – innovation is in our DNA. STRATAFIX™ Knotless Tissue Control Devices provided stronger*, faster†, more secure‡ closure than traditional suturing.7 Incisions closed with DERMABOND™ PRINEO™ Closure System (22 cm) was significantly stronger when compared with the average strength of staples.8 § #

STRATAFIX™ Symmetric PDS™ Knotless Tissue Control Devices Illustration

STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Devices

STRATAFIX™ Spiral Knotless Tissue Control Devices Illustration

STRATAFIX™ Spiral Plus Knotless Tissue Control Devices

Triclosan-coated suture illustration

Plus Antibacterial Technology

DERMABOND™ PRINEO™ Skin Closure System Illustration

DERMABOND™ PRINEO™ Skin Closure System

Reducing risk factors and improving healing can be achieved with appropriate surgical technique and postoperative care. You can optimise tissue management through the principles of wound healing: gentle handling of tissues, careful haemostasis, obliteration of dead space, and avoidance of tension.11,12 Appropriate choice of wound dressing should manage wound bioburden, limit cross contamination and promote a wound healing environment.13

Strength and Security icon

Strength & Security​

  • Closure must be strong enough to maintain appropriate tension and approximation throughout healing.14
  • Continuous suturing closure can be compromised with a break in the suture.15
Watertight Closure & Obliteration of Dead Space icon

Watertight Closure & Obliteration of Dead Space​

  • An optimal tension watertight closure may also reduce the risk of dead space hematomas and infection.16​
  • Suture knots can create inconsistent suture tension, risking tissue gapping between knots.17​
  • Saturated and/or leaking wound dressings allow migration of bacteria to the wound in a rapid manner.18
Antibacterial & Microbial Barrier Protection icon​

Antibacterial & Microbial Barrier Protection​

  • Use of metal clips is associated with a significantly greater risk of wound infection than traditional sutures.19​
  • Any implant, including a suture, increases the risk of bacterial colonization and biofilm formation and may contribute to an infection.20​
  • Wound dressings are typically changed 3 to 5 times in TJA.21 This can increase potential risk of introducing SSI causing pathogens to the wound. 21,22,23

In Total Joint Arthroplasty orthopaedics, STRATAFIX™ Knotless Tissue Control Devices and DERMABOND™ PRINEO™ Skin Closure System vs. traditional sutures and staples, respectively, were associated with:

Shorter Operating Time ​Icon

Shorter Operating Time24,25

Lower Infection Rates Icon

Lower Infection Rates24,25

Reduced LOS Icon

Reduced LOS25,26

Reduced Re-Admission Icon

Reduced Re-Admission25,26

Lower Costs Icon

Lower Healthcare Resource Utilisation1,21​

Easier Patient Care icon​

Easier Patient Care21​

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