Évaluation in vitro de la stérilisation au peroxyde d'hydrogène sur les propriétés biologiques de prothèses utilisées lors de stabilisation du genou chez le chien
Objective—To compare the effects of hydrogen peroxide gas plasma (HPGP), ethylene oxide (EO) and steam (ST) sterilizations on the physicochemical and bioadhesive properties of nylon and polyethylene lines used for stabilization of the canine stifle joint. Study Design—In vitro study. Samples—Non-sterilized, HPGP-, EO- and ST- sterilized samples of 36.3-kg test nylon leader line (NLL), 57.8-kg test nylon fishing line (NFL) and 2-mm Ultra High Molecular Weight Polyethylene (UHMPE) were used. Methods—Surface analysis of NLL, NFL and UHMPE non-sterilized and HPGP-, EO- and ST-sterilized samples was carried out by X-ray photoelectron spectroscopy (XPS), contact angle (CA) measurement, and atomic force microscopy (AFM). Staphylococcus intermedius and Escherichia Coli bacterial adherence were also tested. Results—Surface oxidation was observed on all samples sterilized with HPGP, EO or ST process. All sterilization methods significantly increased the CA for the NLL, NFL and UHMPE. The roughness was not significantly affected by the method of sterilization for NLL, NFL and UHMPE. Bacterial adherence was significantly affected by the method of sterilization for NLL, NFL and UHMPE. UHMPE had significantly higher CA, roughness and bacterial adherence compared to NLL and NFL, no matter which sterilization method was used. Conclusion—The effects of HPGP on the chemico-physical and bioadhesive properties of nylon and polyethylene lines compared positively to EO or ST, making HPGP an attractive alternative. UHMPE may not be a suitable material for suture prostheses regarding bacterial adherence properties. Future studies are required to determine the clinical significance of these findings.
Nylon Sterilization Suture Ethylene Polyethylene Surface Analysis