Effect of Manufacturing Conditions on Structural and Handling Properties of Braided Polyamide Suture
Suture performances include handling characteristics and knot mechanical properties. These performances depend mainly on frictional, flexural, and compressive forces. The interaction between these forces developed inside the suture knot governs the displacement mode and the deformability of the suture yarn inside the knot. In the present work, we studied the effect of manufacturing conditions on structural properties and handling characteristics. Obtained results show that manufacturing parameters have significant impact on slipperiness, flexibility, and compressibility. Consequently, suture performances widely depend on manufacturing parameters. We show that after a hot stretch step, suture structure becomes more uniform and compact. Furthermore, after this treatment, lateral deformation, friction force, and bending rigidity are reduced and knot performances are improved.
Effect of suture structure on knot performance of polyamide sutures a
The knot performance of monofi lament and braided polyamide (PA) sutures has been characterised by applying two d iffe rent knots with two, three and four th rows. It is observed that generally granny knot and braided structure have better knot perfo rmance. An additional throw does not increase the fo rce required to break the suture. Suture size is also important for knot performance and the sutu res behave di ffe rently when they are wet.
Technical considerations in knot construction. Part II. Interrupted dermal suture closure.
The purpose of this study was to identify the optimal knot construction for interrupted dermal sutures. A synthetic braided absorbable suture, sizes 3-0 and 5-0, was selected for this evaluation. With reproducible mechanical performance tests, we determined that the construction of secure knots without ears required one additional throw as compared with secure knots with 3-mm ears. The direction of applied tension did not alter knot security, with the exception of granny knots, which required an extra throw when tension was applied parallel to the suture loop. Because interrupted dermal knot construction is accomplished without knot ears and with an applied tension parallel to the wound, one additional throw must be added to the knot to ensure knot security.