The application of dermatotraction for primary skin closure

Daniel J. Marek, G. Edward Copeland, Michael Zlowodzki, Peter A. Cole

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Management of an open wound is a problem frequently encountered in the treatment of fractures. Skin grafting, rotational flaps, free flaps, and healing by secondary intention add a considerable amount of morbidity and cost to the patient. Therefore, it is ideal to obtain primary closure when possible. This communication describes a technique that uses spinal needles, using towel clips and the natural stretching ability of the skin to enable primary closure of wounds. The technique described uses dermatotraction to stretch the skin is a cost-effective way to achieve primary closure of large wounds with supplies that are readily available in every operating room.

Original languageEnglish (US)
Pages (from-to)123-126
Number of pages4
JournalAmerican journal of surgery
Issue number1
StatePublished - Jul 2005

Bibliographical note

Copyright 2008 Elsevier B.V., All rights reserved.


  • Dermatotraction
  • Mechanical creep
  • Stress-relaxation
  • Swelling
  • Wound closure


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