Zip® Surgical Skin Closure devices are 8 times stronger than sutures.
Published on: 9 September, 2014
An attention-grabbing article was presented in “ORTHOPEDICS THIS WEEK, VOLUME 10, ISSUE 28, SEPTEMBER 9, 2014” co-authored by two orthopaedic physicians from OrthoIndy, Jack Farr, M.D. and David A. Fisher, M.D. After successfully using Zip® Surgical Skin closure device on his patients, Dr Farr elected to have a Zip® used for his own UKA, performed by Dr. Farr. The reason for the physicians’ choice of a Zip® skin closure over sutures or staples is because of Zip’s dynamic compression feature that allows good wound closure during knee flexion rehabilitation; the product is comfortable, painless to remove and provides good cosmetic results. Neither physician holds financial ties to the Zip® manufacturer.
Fast recovery and minimal scarring can improve patient satisfaction after surgical procedures. A secure closure, protected from patient-induced forces, provides peace of mind for both the patient and provider.
In an in-vivo study, Zip® was shown to be 8 times stronger than an incision closed with subcuticular sutures.1 Greater wound protection means less stress on the incision from patient movement during recovery. Wounds closed with a tape-based closure such as the Zip® Surgical Skin Closure have been found to have higher wound strength,2 reduced infection rates and can lead to a better cosmetic result.3
With traditional staples and sutures, the incision edges are subject to extrinsic mechanical forces caused by patient movement. Mechanical stress on an incision contributes to scar production.4,5 The integrated force distribution system of the Zip® Surgical Skin Closure is designed to provide uniform closure forces as well as create an Incision Isolation Zone around the incision to protect it from patient-induced mechanical stress. This protective cage or scaffold-like effect redirects forces from patient movement away from the incision.
1. In an in-vivo study, more load in lb. was required to create a 1mm gap between incision edges approximated with Zip than with Ethicon 4-0 Vicryl® subcuticular running suture (p=0.002). 5 different anatomical locations were used to simulate various surgical incision locations. Data on file.
2. Forrester JC, Zederfeldt BH, Hayes TL, Hunt TK. Wolff’s law in relation to the healing skin wound. J Trauma, 1970; Vol 10, No. 9: 770-779.
3. Pepicello J, Yavorek H. Five year experience with tape closure of abdominal wounds. Surg Gynecol Obstet. 1989 Oct;169(4):310-4.
4. Rosenborough I, Grevious M, Lee R. Prevention and treatment of excessive dermal scarring. JAMA, 2004; Vol 96, No 1: 108-116.
5. Ogawa R, Akaishi S, Huang C, Dohi T, Aoki M, Omori Y, Koike S, Kobe K, Akimoto M, Hyakusoku H. Clinical Applications of Basic Research that Shows Reducing Skin
Tension Could Prevent and Treat Abnormal Scarring: The Importance of Fascial/Subcutaneous Tensile Reduction Sutures and Flap Surgery for Keloid and Hypertrophic Scar Reconstruction. J Nippon Med Sch 2011; 78 (2):