Two hundred fifty-four patients with deep surgical incisions requiring orthopedic surgery were randomized to receive either Stratafix barbed sutures (n=127) or conventional interrupted knotted sutures (n=127). The primary outcome of interest was the deep fascia suture time per unit length. Secondary outcomes included relative cost, the number of suture materials used, and wound-related complications. Outcomes were assessed over a 3-month follow-up period. Overall, the study revealed that the Stratafix technique reduced the suture time per unit length for wounds ≥5 cm, used fewer suture materials, and resulted in fewer wound-related complications compared to the conventional technique. These findings suggest that the barbed suture technique is more efficient and may improve surgical outcomes.