An evaluation of suture materials used in tendon surgery

Trail, I. A.; Powell, E.; Noble, J.

doi:10.1016/0266-7681(89)90160-5

Cited by 122 publications

(98 citation statements)

References 13 publications

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“…When comparing the results with the literature for size 4-0 polypropylene, it was found that the force of approximately 6.75 Newtons presented here was much lower than the force of 13.76 Newtons presented by Trail et al [15].…”

Section: Discussioncontrasting

confidence: 46%

Experimental Analysis of Surgical Tool Force Requirements

Berg

2016

Preprint

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Through the use of a cadaveric porcine model, forces necessary for manipulation of the abdominal organs were evaluated using an instrumented probe. Additionally, forces for tissue puncture, knot tightening, and suture breakage have been measured in order to determine the requirements placed upon the design of novel robotic surgical tools. The break forces for a variety of suture sizes and types were evaluated including sizes 3-0 through 7-0 polypropylene, size 1 polybutestor, size 4-0 chromic gut, and size 6-0 braided polyester. Tests of the tissue puncture force and knot tightening forces were carried out using the same instrumented probe, while the suture break forces were measured using a tension testing machine. The measured forces were found to compare well against the literature and provide a good basis from which to design robotic * Address all correspondence to this author. surgical tools with the appropriate capabilities.

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Section: Discussioncontrasting

confidence: 46%

Experimental Analysis of Surgical Tool Force Requirements

Berg

2016

Preprint

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“…If the cross-sectional area is increased, the gliding resistance through the pulley system is also increased [2,6,25]. [21] Therefore, if a robust knot is created (five throws) [34], gliding will be impeded. Second, it is possible that the knot is the weak point of the tendon repair because of decreased tensile strength of the suture [16,34].…”

Section: Discussionmentioning

confidence: 99%

“…[21] Therefore, if a robust knot is created (five throws) [34], gliding will be impeded. Second, it is possible that the knot is the weak point of the tendon repair because of decreased tensile strength of the suture [16,34]. Third, if the knot is located between the tendon ends, the apposition of the repair may be decreased [32].…”

Section: Discussionmentioning

confidence: 99%

Barbed Sutures and Tendon Repair—a Review

Shah

Rowlands

2014

Hand (New York, N,Y.)

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Introduction Traumatic tendon lacerations are a common problem encountered by hand surgeons worldwide. Although the use of barbed suture to repair tendon lacerations has gained theoretical popularity in recent years, there is little information available regarding the safety, efficacy, longevity, or complications encountered when used in tenorraphy. In this study, we review the available literature on the use of barbed suture in tendon repair. Methods Studies conducted between 1980 and 2014 were identified using several databases, including EMBASE, SCOPUS, MEDLINE, and Web of Science. Keywords used to search for appropriate studies included the following: barbed, v loc, quill, tendon, tendon injuries, suture, tenorraphy, injury, and laceration, in various combinations. Results Our initial literature search identified 47 articles, and 8 were deemed appropriate for review after applying our exclusion criteria. The data from each of the articles is reviewed for the following major categories:1. Maximum load to failure 2. Mode of failure 3. Load to 2-mm gap 4. Change in cross-sectional area 5. Type of repair Conclusions Barbed suture tenorraphy has a myriad of theoretical advantages, supported by varying ex vivo studies, as compared to traditional techniques. However, due to the nonuniformity in current studies and the lack of available data in a live model, we are unable to argue for or against barbed suture tenorraphy. We believe our review provides the most in-depth analysis of barbed suture tenorraphy to date, illuminates the potential advantages of using barbed sutures, and highlights the need for further investigation into this technique.

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“…For tendon sutures, the ideal suture is strong in the suture area and inelastic, with a low reactivity to stimulation that is also easy to handle while also having a safe knot 10 . There also must be minimal swelling in the suture area, and it must be strong enough to permit active movement in the early stages after suturing 11 .…”

Section: Discussionmentioning

confidence: 99%

Biomechanical Analysis of Resorbable Barbed Suture Tenorrhaphy

Lee

Kim

Oh³

et al. 2016

J Korean Soc Surg Hand

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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/bync/ 3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Purpose: To evaluate the tensile strength and repair-site profile of a technique of resorbable barbed suture tenorrhaphy. Methods: Forty-eight flexor digitorum profundus tendons were collected from the 8 adult cadavers. In the test group, the tendons were sutured using absorbent 2-0 barb knotless sutures in a 2-strand or 4-strand zig-zag pattern. In the control group, 2-0 Prolene and 3-0 polydioxanone (PDS) were used to suture the tendons using the 2-stand Modified Kessler method and the 4-strand cruciate suture method. Using a tensile force measurement machine, the breaking load (N) and the stiffness (N/mm) were measured. The types of rupture were categorized into suture breaking, knot rupture, and pullout. Results: In the comparative analysis between the absorbent 2-0 Quill (Angiotech Pharmaceuticals, Canada) suture that used the 2-strand core suture and the 3-0 PDS and 2-0 Prolene sutures, the average breaking load for the 2-0 Quill suture was 26.83±7.47 N, and 21.96±6.78 N and 17.20±4.93 N for the 2-0 Prolene and 3-0 PDS sutures. In the comparison using the 4-strand core suture, the average breaking load for the 2-0 Quill suture was 62.50±13.34 N, and 22.35±5.72 N and 18.67±4.27 N for the 2-0 prolene and 3-0 PDS sutures. The most common type of rupture were knot rupture. Conclusion: For flexor tendon sutures using the absorbent barb sutures, compared to the conventional 2-0 Prolene or 3-0 PDS sutures, absorbent barbed sutures have a higher tensile strength.

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An evaluation of suture materials used in tendon surgery

Cited by 122 publications

References 13 publications

Experimental Analysis of Surgical Tool Force Requirements

Experimental Analysis of Surgical Tool Force Requirements

Barbed Sutures and Tendon Repair—a Review

Biomechanical Analysis of Resorbable Barbed Suture Tenorrhaphy

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