Journal of Materials Science: Materials in Medicine

, Volume 18, Issue 12, pp 2363–2369 | Cite as

Comparison of tensile and knot security properties of surgical sutures

  • Jin-Cheol Kim
  • Yong-Keun Lee
  • Bum-Soon Lim
  • Sang-Hoon Rhee
  • Hyeong-Cheol Yang
Article

Abstract

Sutures are classified into non-absorbable and absorbable, and mechanical properties of these materials vary by the composition. Knotting induces decrease in mechanical properties. The objective of this study was to measure the tensile and knot security properties depending on the type and caliber of sutures. Changes in properties after tensile loading were measured with absorbable sutures. Tensile properties such as maximum tensile load, elongation rate, stiffness and energy absorbed before breakage of seven kinds of surgical sutures were measured. Absorbable sutures were immersed in 37 °C Hank’s balanced salt solution up to 14 days under the tensile load of 100 g/thread, and properties were measured again. Knot was formed with surgeon’s knot method, and tensile properties were measured. Five specimens were tested for each condition. Values were analyzed with one- or two-way analysis of variance (α = 0.05). Maximum tensile load of seven sutures (caliber = 4-0) ranged from 10.0 N to 14.3 N. In non-absorbable sutures, the type of suture material influenced the tensile properties (P < 0.05). In absorbable sutures, the maximum tensile load after tensile loading decreased, which was significant in chromic catgut (CC). Knot security of seven sutures (caliber = 4-0) ranged from 8.7 N to 11.9 N. Type of non-absorbable suture influenced knot security (P < 0.05), and the synthetic monofilament materials showed a tendency to be untied easily. Since no single suture material possesses all of the requirements, proper type and caliber suture should be selected based on this study.

References

  1. 1.
    R. J. SHAW, T. W. NEGUS and T. K. MELLOR, Br. J. Oral Maxillofac. Surg. 34 (1996) 252CrossRefGoogle Scholar
  2. 2.
    R. L. MOY, A. LEE and A ZALKA, Am. Fam. Physician 44 (1991) 2123Google Scholar
  3. 3.
    J. LABAGNARA Jr, Ear Nose Throat J. 74 (1995) 409Google Scholar
  4. 4.
    D. GREENWALD, S. SHUMWAY, P. ALBEAR and L. GOTTLIEB, J. Surg. Res. 56 (1994) 372CrossRefGoogle Scholar
  5. 5.
    S. FREUDENBERG, S. REWERK, M. KAESS, C. WEISS, A. DORN-BEINECKE and S. POST, Eur. Surg. Res. 36 (2004) 376CrossRefGoogle Scholar
  6. 6.
    M. A. MUFTUOGLU, E. OZKAB and A. SAGLAM, Am. J. Surg. 188 (2004) 200CrossRefGoogle Scholar
  7. 7.
    D. G. GALLUP, T. E. NOLAN and R. P. SMITH, Obstet. Gynecol. 76 (1990) 872Google Scholar
  8. 8.
    K. TOMIHATA, M. SUZUKI and N. TOMIYA, Biomed. Mater. Eng. 15 (2005) 381Google Scholar
  9. 9.
    T. R. GRIGG, F. R. LIEWEHR, W. R. PATTON, T. B. BUXTON and J. C. MCPHERSON, J. Endod. 30 (2004) 649CrossRefGoogle Scholar
  10. 10.
    J. R. URBANIAK, P. N. SOUCACOS, R. S. ADELAAR, D. S. BRIGHT and L. A. WHITEHURST, Orthop. Clin. North Am. 8 (1977) 249Google Scholar
  11. 11.
    J. J. IVY, J. B. UNGER, J. HURT and D. MUKHERJEE, Am. J. Obstet. Gynecol. 191 (2004) 1618CrossRefGoogle Scholar
  12. 12.
    P. M. SUTCLIFFE and A. T. WINFREE, Phys. Rev. E Stat. Nonlin. Soft Matter Phys. 68 (2003) 016218Google Scholar
  13. 13.
    C. BIBBO, M. J. MILIA, R. M. GEHRMANN, D. V. PATEL and R. B. ANDERSON, Foot Ankle Int. 25 (2004) 712Google Scholar
  14. 14.
    R. J. ZDRAHALA, J. Biomater. Appl. 10 (1996) 309Google Scholar
  15. 15.
    I. A. TRAIL, E. S. POWELL and J. NOBLE, J. Hand. Surg. [Br]. 14 (1989) 422CrossRefGoogle Scholar
  16. 16.
    T. M. LAWRENCE and T. R. DAVIS, J. Hand. Surg. [Am]. 30 (2005) 836CrossRefGoogle Scholar
  17. 17.
    A. STAMBOULIS, L. L. HENCH and A. R. BOCCACCINI, J. Mater. Sci. Mater. Med. 13 (2002) 843CrossRefGoogle Scholar
  18. 18.
    H. KRANZ, N. UBRICH, P. MAINCERT and R. BODMEIER, J. Pharm. Sci. 89 (2000) 1558CrossRefGoogle Scholar
  19. 19.
    J. R. URBANIAK, Clin. Orthop. Relat. Res. 163 (1982) 57Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Jin-Cheol Kim
    • 1
  • Yong-Keun Lee
    • 1
  • Bum-Soon Lim
    • 1
  • Sang-Hoon Rhee
    • 1
  • Hyeong-Cheol Yang
    • 1
  1. 1.Department of Dental Biomaterials Science, Dental Research Institute, College of DentistrySeoul National UniversitySeoulKorea

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