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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™ Plus Knotless Tissue Control Devices

STRATAFIX™ Spiral Plus Knotless Tissue Control Devices

Plus Antibacterial Technology

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 & 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
- 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
- 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 Time24,25

Lower Infection Rates24,25

Reduced LOS25,26

Reduced Re-Admission25,26

Lower Healthcare Resource Utilisation1,21

Easier Patient Care21
Orthopaedic Learn as One Microlectures Series
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