‡ In these countries please contact our distributor

Use of PICO in orthopedic surgery

Reducing surgical site complications (SSC)1-3

PICO technology is helping deliver predictable outcomes for high risk patients in total joint arthroplasty1-2

View our collection on Education and Evidence to find out how PICO Single Use Negative Pressure Wound Therapy (sNPWT) may improve outcomes and efficiencies in orthopaedic surgery1-4


Potentially shorter hospital length of stay1-2

PICO sNPWT is designed to help reduce SSCs1-3 and dehiscence1.

May reduce orthopaedic SSCs by up to 76%*2

Predictability of wound healing, including high-risk patients**1,4


Exploring the potential benefits of PICO sNPWT on length of stay, dressing change frequency and wound healing following hip and knee replacement surgery, including high risk patients1-2,4-5

PICO unique technology: Helping reducing wound complications1-2


Watch Dr Robin Martin demonstrate PICO sNPWT’s multiple mechanisms of action for effective compression, not suction, that may help reduce haematoma1 and seroma1, and improve perfusion***8

We will keep you updated on new content coming soon.


Learn more about how PICO could help reduce surgical site complications.


PICO sNPWT’s role in improving wider outcomes and efficiencies1-7

- Demonstrated reduction in surgical site infections (SSI) by 58%****, with particular benefit observed in patients with a higher BMI**1 compared to standard of care.
- Reduce dehiscence, thereby potentially reducing readmissions1


  How to use and apply PICO 


PICO sNPWT technology in orthopaedic surgery

  • PICO sNPWT’s unique AIRLOCK™ Technology layer distributes pressure evenly across the zone of injury consistently for up to 7 days, depending on exudate levels9.
  • Optimal fluid management to help minimise the risk of maceration8.
  • Softport allows PICO to be used on weight-bearing areas, with negative pressure delivered effectively even under compression10.
  • A gentle silicone contact layer designed to help minimise pain and trauma on application and removal10.
  • Designed to treat the underlying zone of injury8,11 and reducing lateral tension11.
  • In-vitro testing demonstrated that once bacteria is within the dressing, over 99% is locked away from the wound in the PICO dressing with AIRLOCK Technology12.



  For further product information, we can arrange for a Smith & Nephew representative to contact you. Find out what PICO sNPWT could do for you.


PICO sNPWT is helping you get CLOSER TO ZERO surgical site complications.


Don’t forget to follow @smithnephew on Twitter for regular updates on Education & Evidence.


*220-patient primary hip and knee arthroplasty study. p=<0.06.
**patients with BMI >35 or ASA >3
***Pre-clinical evidence. In vivo study.
**** Meta-analysis included 10 RCT & 6 observational studies. Reduction in SSI (16 articles included): 1839 patients (2154 incisions); PICO 5.2%; control group 12.5%; p<0.0001

For detailed product information, including indications for use, contraindications, precautions and warnings, please consult the product’s applicable Instructions for Use (IFU) prior to use.





1) Strugala V and Martin R. Meta-analysis of comparative trials evaluating a prophylactic single-use negative pressure wound therapy system for the prevention of surgical site complications. Surgical Infections Vol 18 Number 07 (2017). DOI: 10.1089/sur.2017.156. 810-819.
2) Karlakki, S. et al. 2016. Incisional negative pressure wound therapy dressings (iNPWTd) in routine primary hip and knee arthroplasties. Bone and Joint Research, 5(8), 328-337.
3) Matsumoto, T; Parekh, S; Use of negative pressure wound therapy on closed surgical incision after total ankle arthroplasty; Foot Ankle Int. 2015;36(7):787-794.
4) Nherera LM, Trueman P, Karlakki SL. Cost-effectiveness analysis of single-use negative pressure wound therapy dressings (sNPWT) to reduce surgical site complications (SSCs) in routine primary hip and knee replacements. Wound Repair Regen. April 2017. doi:10.1111/wrr.12530.
5) Karlakki et al.; Negative pressure wound therapy for management of the surgical incision in orthopaedic surgery Oct 2013: 2(12):276-284.
6) Hyldig, N., Birke-Sorensen, H., Kruse, M., Vinter, C., Joergensen, J., Sorsensen, J., Mogensen, O., Lamont, R. and Bille, C. (2016). Meta-analysis of negative-pressure wound therapy for closed surgical incisions. British Journal of Surgery, 103(5), pp.477-486.
7) Pellino G, Scuiadone G, Candilio G, Campitiello F, et al., Effects of a new pocket device for Negative Pressure Wound Therapy on surgical wounds of patients affected by Crohn’s disease: a pilot trial. Surgical Innovation. 2013. 21; (2):204–212.
8) Malmsjö M et al. Biological effects of a disposable, canisterless Negative Pressure Wound Therapy system. Eplasty 2014; 14:e15.
9) Data on file. DS/17/253/R version2. Project Opal PICO 7 system stability testing, initial time point. November 2017
10) Hurd T; Trueman P; Rossington A; Use of a portable, single-use negative pressure wound therapy device in home care patients with low to moderately exuding wounds: a case series; Ostomy Wound Management supplement, 60: 30-36. Issue 3, 2014.
11) Loveluck J et al. Biomechanical modelling of forces applied to closed incision during single-use negative pressure wound therapy. Eplasty 2016; 16e20.
12) Data on file report 1712012. The retention of P.aeruginosa and S. aureus bacteria within PICO dressings after 72 hours under NPWT in a dynamic model. December 2017.

NICE recognition for PICO

 A medical technology innovation briefing on PICO sNPWT

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Helping you get
surgical site complications

Find out how PICO◊  can help


Negative pressure wound therapy

Find out more about our pioneering negative pressure wound therapy (NPWT) products

More about NPWT