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Literature Review of Suture Materials

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Knots in Orthopedic Surgery

Abstract

Sutures are used on a daily basis in orthopedic surgery for a wide variety of purposes. Although mostly depended onto the surgeon preferences, the selection of suture material is based on the tissues to be repaired. As surgical procedures and the handled tissues vary, it is important to understand the basic types of the suture materials. Synthetic suture materials overcome the use of natural suture materials for years. With modern sutures, it is likely to perform many surgical procedures with more confidence. This review will cover several different features of suture materials that are commonly used.

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References

  1. MĂ¼ller DA, Snedeker JG, Meyer DC. Two-month longitudinal study of mechanical properties of absorbable sutures used in orthopedic surgery. J Orthop Surg Res. 2016;11:1–111.

    Article  Google Scholar 

  2. Pietschmann MF, Sadoghi P, Häuser E, Scharpf A, GĂ¼lecyĂ¼z MF, Schröder C, Jansson V, MĂ¼ller PE. Influence of testing conditions on primary stability of arthroscopic knot tying for rotator cuff repair: slippery when wet? Arthroscopy. 2011;27:1628–36.

    Article  PubMed  Google Scholar 

  3. Dhom J, Bloes DA, Peschel A, Hofmann UK. Bacterial adhesion to suture material in a contaminated wound model: comparison of monofilament, braided, and barbed sutures. J Orthop Res. 2017;35(4):925–33.

    Article  CAS  PubMed  Google Scholar 

  4. Wu X, Kubilay NZ, Ren J, Allegranzi B, Bischoff P, Zayed B, Pittet D, Li J. Antimicrobial-coated sutures to decrease surgical site infections: a systematic review and meta-analysis. Eur J Clin Microbiol Infect Dis. 2016;36:1–14.

    CAS  Google Scholar 

  5. Regula CG, Yag-Howard C. Suture products and techniques: what to use, where, and why. Dermatol Surg. 2015;41:S187–200.

    Article  CAS  PubMed  Google Scholar 

  6. Silver E, Wu R, Grady J, Song L. Knot security- how is it affected by suture technique, material, size, and number of throws? J Oral Maxillofac Surg. 2016;74:1304–12.

    Article  PubMed  Google Scholar 

  7. Justinger C, Slotta JE, Ningel S, Gräber S, Kollmar O, Schilling MK. Surgical-site infection after abdominal wall closure with triclosan-impregnated polydioxanone sutures: results of a randomized clinical pathway facilitated trial (NCT00998907). Surgery. 2013;154:589–95.

    Article  PubMed  Google Scholar 

  8. Callahan TL, Lear W, Kruzic JJ, Maughan CB. Mechanical properties of commercially available nylon sutures in the United States. J Biomed Mater Res B Appl Biomater. 2017;105(4):815–9.

    Article  CAS  PubMed  Google Scholar 

  9. Barber FA, Herbert MA, Coons DA, Boothby MH. Sutures and suture anchors—update 2006. Arthroscopy. 2006;22:1063–9.

    Article  PubMed  Google Scholar 

  10. Ma R, Chow R, Choi L, Diduch D. Arthroscopic rotator cuff repair: suture anchor properties, modes of failure and technical considerations. Expert Rev Med Devices. 2011;8:377–87.

    Article  PubMed  Google Scholar 

  11. WĂ¼st DM, Meyer DC, Favre P, Gerber C. Mechanical and handling properties of braided polyblend polyethylene sutures in comparison to braided polyester and monofilament polydioxanone sutures. Arthroscopy. 2006;22:1146–53.

    Article  PubMed  Google Scholar 

  12. Savage E, Hurren CJ, Slader S, Khan LAK, Sutti A, Page RS. Bending and abrasion fatigue of common suture materials used in arthroscopic and open orthopedic surgery. J Orthop Res. 2013;31:132–8.

    Article  CAS  PubMed  Google Scholar 

  13. Williams JF, Patel SS, Baker DK, Schwertz JM, McGwin G, Ponce BA. Abrasiveness of high-strength sutures used in rotator cuff surgery: are they all the same? J Shoulder Elb Surg. 2016;25:142–8.

    Article  Google Scholar 

  14. Kowalsky MS, Dellenbaugh SG, Erlichman DB, Gardner TR, Levine WN, Ahmad CS. Evaluation of suture abrasion against rotator cuff tendon and proximal humerus bone. Arthroscopy. 2008;24:329–34.

    Article  PubMed  Google Scholar 

  15. Neuhofer S, Wieser K, Lajtai G, MĂ¼ller D, Gerber C, Meyer DC. Surgical knot tightening: how much pull is necessary? Knee Surg Sports Traumatol Arthrosc. 2014;22:2849–55.

    Article  PubMed  Google Scholar 

  16. Kaplan KM, Gruson KI, Gorczynksi CT, Strauss EJ, Kummer FJ, Rokito AS. Glove tears during arthroscopic shoulder surgery using solid-core suture. Arthroscopy. 2007;23:51–6.

    Article  PubMed  Google Scholar 

  17. Ilahi OA, Younas SA, Ho DM, Noble PC. Security of knots tied with ethibond, fiberwire, orthocord, or ultrabraid. Am J Sports Med. 2008;36:2407–14.

    Article  PubMed  Google Scholar 

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Correspondence to Mustafa Karahan .

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Erçin, E., Karahan, M. (2018). Literature Review of Suture Materials. In: Akgun, U., Karahan, M., Randelli, P., Espregueira-Mendes, J. (eds) Knots in Orthopedic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56108-9_17

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  • DOI: https://doi.org/10.1007/978-3-662-56108-9_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56107-2

  • Online ISBN: 978-3-662-56108-9

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