Orthopedics 2018-04-20T02:31:54+00:00

“The impact on scarring is fairly dramatic. They (patients) don’t get that railroad-type look you get with sutures and staples.”

– John Wang, M.D., orthopedic surgeon, Palm Beach, FL

“They (patients) have a lot less apprehension than they do with staples.”

– Jack Farr II, M.D., orthopedic surgeon, Indianapolis, IN

Hear what orthopedic surgeons say about Zip

TOTAL JOINTS

“I use the Zip in almost all of my cases, whether it’s a primary or revision, hips or knees, and on any skin quality.”

– Thomas Aleto, M.D., orthopedic surgeon, Columbia, MO

The flexion requirements of the major joints create special challenges for most closure methods. However, the flexible design of the Zip enables patients to achieve greater range of motion in their exercises, without pinching or pulling that can come from staples.1 This can reduce patient anxiety and enhance recovery.

FOOT & ANKLE

“The Zip works particularly well with foot and ankle surgeries, especially Achilles repair. There’s not much skin over your repair and the Zip gives me a fabulous closure.”

– James Shapiro, M.D., orthopedic surgeon, Kenosha, WI

The noninvasive Zip does not puncture tissue like staples and sutures.  These punctures introduce additional pathways for bacteria to enter and can contribute to surgical site infections.2,3,4,5 This may be of particular importance in areas of the body such as the foot and ankle.

A study of foot and ankle surgery demonstrated higher post-surgical tissue perfusion when closed with the Zip instead of staples.6 Higher tissue perfusion has been linked to better healing and fewer wound complications,7 which is important in poorly perfused areas such as the Achilles.

SPORTS MEDICINE

“We have been using the ZipLine wound closure method and it has resulted so far in excellent cosmetic outcomes and high patient satisfaction.”

– John Fulkerson, M.D., sports medicine surgeon, Hartford, CT

Sports medicine procedures such as ACL reconstruction can take advantage of the multiple sizes available with the Zip.  Multiple incision procedures benefit from the significant time savings8 when using the Zip for skin closure.

Its unique attributes enable a patient to reach optimal flexibility during rehabilitation, experience minimal pain on removal, and have the most aesthetically pleasing scar possible.9

SPINE

“I believe that the Zip is the best thing for my patients, and the more I use it, the more convinced I am.”

– David Skaggs, M.D., spine surgeon, Los Angeles, CA

The Zip is ideal for skin closure of incisions related to fusion, lumbar laminectomy, scoliosis and other open back surgeries.  For extremely long incisions in procedures to treat scoliosis, multiple Zip devices may be applied.  The minimal scarring achieved along the spine with the Zip is appreciated by patients while wearing a swimsuit or backless clothing.

References

1. Benner RW, Behrens JP. ” A Novel Skin Closure Device for [Bilateral] Total Knee Arthroplasty: Randomized Controlled Trial vs. Staples.” Poster session presented at American Association of Hip and Knee Surgeons; Nov 3, 2017; Dallas, TX. Manuscript will be published in 2018 JOA Proceedings from AAHKS.

2. Schauerhamer RA, et al. Studies in the Management of the Contaminated Wound, VII. Susceptibility of Surgical Wounds to Postoperative Surface Contamination. Am J Surg 1971; 122:74-77.

3. Henretig FM, King C. Textbook of Pediatric Emergency Procedures, Chapter 111 Laceration Repair, p. 1159.

4. Hirshman HP, Schurman DJ, Kajiyama G. Penetration of Staphylococcus aureus into Sutured Wounds. J Orthop Res, Vol 2, No. 3, 1984.

5. Maharaj D, Sharma D, Ramdass M, Naraynsingh V. Closure of traumatic wounds without cleaning and suturing. Postgrad Med J 2002; 78: 281-282.

6. Davis A, Vaughn M, Piraino J. “Effect of Surgical Incision Closure Device on Skin Perfusion Following Total Ankle Arthroplasty.” Poster session presented at American College of Foot and Ankle Surgeons; Feb 27-Mar 1; Las Vegas, NV, http://www.acfas.org/Regional-Divisions/Div-5-Davis-2017/. Accessed Aug 2, 2017.

7. Wyles C, Jacobson S, Houdek M, Larson D, Taunton M, Sim F, Sierra R, Trousdale R. Running Subcuticular Closure Enables the Most Robust Perfusion After TKA: A Randomized Clinical Trial. Clinical Orthopaedics Clin Orthop Relat Res; DOI 10.1007/s11999-015-4209-x.

8. Goldman DS, Hammill E, Aasbo J, Storne E, Reddy S. Improvement in S-ICD Incision Closure Time and High Implanter Satisfaction Using a Novel Skin Closure Device Scientific presentation given at Asia-Pacific Heart Rhythm Society 2017 Meeting; Sep 16, 2017; Yokohama, Japan.

9. Levi K, Ichiryu K, Kefel P, et al. Mechanics of Wound Closure: Emerging Tape-Based Wound Closure Technology vs. Traditional Methods. Muacevic A, Adler JR, eds. Cureus. 2016;8(10):e827. doi:10.7759/cureus.827.