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Journal of Hand Surgery (British and European Volume)
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Articles

An Evaluation of Suture Materials Used in Tendon Surgery

I. A. TRAIL
E. S. POWELL
J. NOBLE

From the Department of Orthopaedic Surgery, Hope Hospital, Salford

Correspondence: I. A. Trail, F.R.C.S., Senior Registrar, in Orthopaedic Surgery, Clinical Sciences Building, Hope Hospital, Eccles Old Road, Salford M6 8HD.

The following suture materials have been evaluated for their suitability for use in flexor tendon repairs: 4/0 gauge monofilament and multifilament stainless steel, mono-filament nylon, monofilament polypropylene, monofilament polybutestor, braided polyester, braided polyglycolic acid and a monofilament polyglyconate. These were investigated for their tensile strength (both knotted and unknotted), their extension to failure and knot-holding properties. Stainless steel and monofilament polyglyconate appeared to be the most suitable in that they had high tensile strengths, both knotted and unknotted, and had good knot-holding security. The only disadvantages are that stainless steel is difficult to use and monofilament polyglyconate is absorbable. Polypropylene and braided polyester, although having lower tensile strengths, are reasonable alternatives.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 4, 422-427 (1989)
DOI: 10.1016/0266-7681(89)90160-5
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 Arch OphthalmolHome page
R. P. Yeatts, J. Harvey, G. B. Bartley, and J. J. Nerney
Ocular Injury Secondary to Periorbital Use of Stainless-Steel Wire and Suture
Arch Ophthalmol, February 1, 1994; 112(2): 213 - 216.
[Abstract] [PDF]