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Suture and Needle Characteristics in Orthopaedic Surgery
Elizabeth Pacer1, Daniel W Griffin, Ashley B Anderson
1Walter Reed National Military Medical Center, Bethesda, Maryland.
JBJS Reviews
|July 11, 2020
Summary
Understanding suture properties is crucial for effective wound closure and soft-tissue repair. Optimal material selection balances characteristics like tensile strength and elasticity for specific surgical needs.
Area of Science:
- Surgical Materials Science
- Biomedical Engineering
Background:
- Limited research exists on materials for wound closure and soft-tissue repair.
- Understanding critical suture properties is essential for effective surgical outcomes.
Purpose of the Study:
- To review critical properties of sutures used in wound closure and soft-tissue repair.
- To highlight the importance of selecting appropriate suture materials based on indications.
Main Methods:
- Literature review of suture properties and their impact on surgical applications.
- Analysis of key characteristics such as tensile strength, absorbability, and knot security.
Main Results:
- Critical suture properties include physical configuration, fluid absorption, caliber, tensile strength, elasticity, and knot security.
- Optimal ranges for these properties are often undefined for specific indications.
- Suture-needle selection requires consideration of needle design and suture passage characteristics.
Conclusions:
- Suture selection must consider a balance of properties to achieve desired surgical outcomes.
- Higher tensile strength is not always superior and can lead to increased tissue reactivity.
- Different suture types are optimally suited for various surgical indications, including fascial closure, tendon repair, and skin approximation.
