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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


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.

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

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 PICO   Get in touch


Helping you get CLOSER TO ZERO surgical site complications

*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.  -  AWM-AWD-15068.
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.


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surgical site complications

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NICE recognition for PICO

 A medical technology innovation briefing on PICO sNPWT

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