Investigating the Effect of Knot Configuration and Suture Diameter on the Knot Performance of Silk Sutures
DOI:
https://doi.org/10.14502/tekstilec.66.2023028Keywords:
knot configurations, tensile strengthAbstract
Knot configurations serve as the foundation for postoperative tissue repair. Loosening surgical knots during or after tying might lead to an unsuccessful suture and compromise the outcome. This investigation was carried out to study the mechanical properties of knotted silk sutures that are made from braided structures with three different diameters. A maximum tensile strength (33.24 N) and minimum breaking elongation (15%) of dry suture, maximum tensile strength (22.6 N) and minimum breaking elongation (13.6%) of wet suture were achieved with five throws and a diameter of 0.3 mm with surgeon’s square knot.
References
ALTMAN, Gregory H., DIAZ, Frank, JAKUBA, Caroline, CALABRO, Tara, HORAN, Rebecca L., CHEN, Jingsong, LU, Helen, RICHMOND, John, KAPLAN, David L. Silk-based biomaterials. Biomaterials, 2003, 24(3), 401–416, doi: 10.1016/S0142-9612(02)00353-8. DOI: https://doi.org/10.1016/S0142-9612(02)00353-8
ERGÜN, Selim, AKGÜN, Umut, KARAHAN, Mustafa. The effect of loop size on loop security and elongation of a knot. Orthopaedics & Traumatology: Surgery & Research, 2020, 106(1), 35–38, doi:10.1016/J.OTSR.2019.10.008. DOI: https://doi.org/10.1016/j.otsr.2019.10.008
DEBBABI, Faten, ABDESSALEM, Saber B. New approach for appreciating the surgeon’s satisfaction of braided sutures. Journal of Industrial Textiles, 2015, 46(6), 1319–1341, doi: 10.1177/1528083715622426. DOI: https://doi.org/10.1177/1528083715622426
FAULKNER, Brent C., TRIBBLE, Curtis G., THACKER, John G., RODEHEAVER, George T., EDLICH, Richard F. Knot performance of polypropylene sutures. Journal of Biomedical Materials Research, 1996, 33(3), 187–192, doi: 10.1002/(SICI)1097-4636(199623)33:3<187::AID-JBM8>3.0.CO;2-M. DOI: https://doi.org/10.1002/(SICI)1097-4636(199623)33:3<187::AID-JBM8>3.0.CO;2-M
TOMITA, N., TAMAI, S., MORIHARA, T., IKEUCHI, K., IKADA, Y. Handling characteristics of braided suture materials for tight tying. Journal of Applied Biomaterials, 1993, 4(1), 61–65, doi: 10.1002/JAB.770040108. DOI: https://doi.org/10.1002/jab.770040108
IVY, Joseph J., UNGER, James B., HURT, Jason, MUKHERJEE, Debi. The effect of number of throws on knot security with nonidentical sliding knots. American Journal of Obstetrics and Gynecology, 2004, 191(5), 1618–1620, doi: 10.1016/J.AJOG.2004.05.029. DOI: https://doi.org/10.1016/j.ajog.2004.05.029
KIM, Jin-Cheol, LEE, Yong-Keun, LIM, Bum-Soon, RHEE Sang-Hoon, YANG, Hyeong-Cheol. Comparison of tensile and knot security properties of surgical sutures. Journal of Materials Science. Materials in Medicine, 2007, 18(12), 2363–2369, doi: 10.1007/S10856-007-3114-6. DOI: https://doi.org/10.1007/s10856-007-3114-6
BAYRAKTAR, E. Karaca, HOCKENBERGER, A. Şengönül. Investigating the knot performance of silk, polyamide, polyester, and polypropylene sutures. Textile Research Journal, 2016, 71(5), 435–440, doi: 10.1177/004051750107100511. DOI: https://doi.org/10.1177/004051750107100511
HRISTOV, Krasimira, ARMSTRONG-CARROLL, Eileen, DUNN, Matt, PASTORE, Christopher, GOWAYED, Yasser. Mechanical behavior of circular hybrid braids under tensile loads. Textile Research Journal, 2016, 74(1), 20–26, doi: 10.1177/004051750407400104. DOI: https://doi.org/10.1177/004051750407400104
BEN ABDESSALEM, Saber, DEBBABI, Faten, JEDDA, Hanen, ELMARZOUGUI, Saber, MOKHTAR, Sofiene. Tensile and knot performance of polyester braided sutures. Textile Research Journal, 2009, 79(3), 247–252, doi: 10.1177/0040517508094090. DOI: https://doi.org/10.1177/0040517508094090
IM, Jung Nam, KIM, Jeong Kyung, KIM, Hyun Kyoon, LEE, Kuen Yong, PARK, Won Ho. Effect of tying conditions on the knot security of suture materials. Journal of Applied Polymer Science, 2008, 109(2), 918–922, doi: 10.1002/APP.28109. DOI: https://doi.org/10.1002/app.28109
SILVER, E., WU, R., GRADY, J., SONG, L. Knot security-how is it affected by suture technique, material, size, and number of throws? Journal of Oral and Maxillofacial Surgery, 2016, 74(7), 1304–1312, doi: 10.1016/j.joms.2016.02.004. DOI: https://doi.org/10.1016/j.joms.2016.02.004
WASEEM, Muhammad, SALAH, Bashir, HABIB, Tufail, SALEEM, Waqas, ABAS, Muhammad, KHAN, Razaullah, GHANI, Usman, SIDDIQI, Muftooh Ur Rehman. Multi-response optimization of tensile creep behavior of PLA 3D printed parts using categorical response surface methodology. Polymers, 2020, 12(12), 1–16, doi: 10.3390/POLYM12122962. DOI: https://doi.org/10.3390/polym12122962
ZIMMER, Christopher A., THACKER, John G., POWELL, David M., BELLIAN, Kenneth T., BECKER, Daniel G., RODEHEAVER, George T., EDLICH, Richard F. Influence of knot configuration and tying technique on the mechanical performance of sutures. Journal of Emergency Medicine, 1991, 9(3), 107–113, doi: 10.1016/0736-4679(91)90313-5. DOI: https://doi.org/10.1016/0736-4679(91)90313-5
LIVERMORE, Ryan W., CHONG, Alexander C.M., PROHASKA, Daniel J., COOKE, Francis W., JONES, Teresa L. Knot security, loop security, and elongation of braided polyblend sutures used for arthroscopic knots. American Journal of Orthopedics (Belle Mead, NJ), 2010, 39(12), 569–576.
MISHRA, Dev K., CANNON, W. Dilworth, LUCAS, Duncan J., BELZER, John P. Elongation of arthroscopically tied knots. American Journal of Sports Medicine, 1997, 25(1), 113–117, doi: 10.1177/036354659702500122. DOI: https://doi.org/10.1177/036354659702500122
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 S. Natarajan, V. Ramesh Babu, S. Ariharasudhan, P. Chandrasekaran, S. Sundaresan (Author)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.