Simultaneous primary closure of four fasciotomy wounds in a single setting using the Sure-Closure device

The Sure-Closurem 75 mm skin stretching system is used in closing wounds when the presence of a skin deficit precludes the safe and effective use of primary closure techniques. The device (Figure 2) consists of two pins that are threaded through the dermis of the wound margins on either side of the defect and which are in turn engaged by the hooks of the stretching device. The stretching force on the skin margins is spread over a wide area, thus preventing damage to the skin that individual hooks applied to the skin might cause. The device is used for up to 30 min for 3 days depending on the condition of the skin adjoining the defect. It can he applied over three different periods of time: (1) preoperatively (presuturing), lasting 1 to 2 days, (2) intraoperatively for acute stretching, and (3) postoperatively for delayed stretching.