All Monofilament Knots Assume Sliding Conformation In Vivo

All Monofilament Knots Assume Sliding Conformation In Vivo

Background Surgeons are not always cognizant of the knots they tie. It has been thought that suture material does not determine what types of knots are tied. Design Experienced surgeons were asked to tie square monofilament knots that were salvaged and microscopically evaluated. Results Tightly cinc...

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Veröffentlicht in:Dermatologic surgery 2013-05, Vol.39 (5), p.729-733
Hauptverfasser: Davis, Daniel A., Pellowski, Donna M., Rawdon, Eric J.
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Equipment Design
Humans
Materials Testing
Suture Techniques
Sutures
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container_title Dermatologic surgery
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creator Davis, Daniel A.
Pellowski, Donna M.
Rawdon, Eric J.
description Background Surgeons are not always cognizant of the knots they tie. It has been thought that suture material does not determine what types of knots are tied. Design Experienced surgeons were asked to tie square monofilament knots that were salvaged and microscopically evaluated. Results Tightly cinched monofilament knots assume sliding conformation in vivo regardless of configuration, instrumentation, suture polymer, or surgeon. Conclusions When monofilament suture is securely cinched in vivo, kinetic energy forces even a flat throw into sliding conformation. A well‐crafted, intentionally sliding square knot appears compacter than any other monofilament knot.
doi_str_mv 10.1111/dsu.12112
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It has been thought that suture material does not determine what types of knots are tied. Design Experienced surgeons were asked to tie square monofilament knots that were salvaged and microscopically evaluated. Results Tightly cinched monofilament knots assume sliding conformation in vivo regardless of configuration, instrumentation, suture polymer, or surgeon. Conclusions When monofilament suture is securely cinched in vivo, kinetic energy forces even a flat throw into sliding conformation. A well‐crafted, intentionally sliding square knot appears compacter than any other monofilament knot.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1111/dsu.12112</identifier><identifier>PMID: 23331946</identifier><language>eng</language><publisher>United States</publisher><subject>Equipment Design ; Humans ; Materials Testing ; Suture Techniques ; Sutures</subject><ispartof>Dermatologic surgery, 2013-05, Vol.39 (5), p.729-733</ispartof><rights>2013 by the American Society for Dermatologic Surgery, Inc. 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It has been thought that suture material does not determine what types of knots are tied. Design Experienced surgeons were asked to tie square monofilament knots that were salvaged and microscopically evaluated. Results Tightly cinched monofilament knots assume sliding conformation in vivo regardless of configuration, instrumentation, suture polymer, or surgeon. Conclusions When monofilament suture is securely cinched in vivo, kinetic energy forces even a flat throw into sliding conformation. A well‐crafted, intentionally sliding square knot appears compacter than any other monofilament knot.</description><subject>Equipment Design</subject><subject>Humans</subject><subject>Materials Testing</subject><subject>Suture Techniques</subject><subject>Sutures</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUQC0EoqUw8APIIwxp_YwTtqrlUVHEUMpquY6DjBy7xAmof08ghY273KurozMcAM4xGuNuJkVsx5hgTA7AEHPCEiYIP-xuJNIEcUwG4CTGN4QwySk6BgNCKcU5S4fgeuocfAw-lNapyvgGPvjQRDiNsa0MXDlbWP8KZ8GXoa5UY4OHCw9f7Ec4BUelctGc7fcIrG9vnmf3yfLpbjGbLhNNCSdJQbQiHOeKZmhTqrw0mmuTKkEFzjjKC2QyTglKS8HyLMsY5xsuNKLMmKJ70RG47L3bOry3JjayslEb55Q3oY0SUyZYyigjHXrVo7oOMdamlNvaVqreSYzkdyrZpZI_qTr2Yq9tN5Up_sjfNh0w6YFP68zuf5Ocr9a98gtcP3Cx</recordid><startdate>201305</startdate><enddate>201305</enddate><creator>Davis, Daniel A.</creator><creator>Pellowski, Donna M.</creator><creator>Rawdon, Eric J.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201305</creationdate><title>All Monofilament Knots Assume Sliding Conformation In Vivo</title><author>Davis, Daniel A. ; Pellowski, Donna M. ; Rawdon, Eric J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3252-d2ca2519a380bfa9fec5ce6a73718509d0e853206f749888455b57c034eed7493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Equipment Design</topic><topic>Humans</topic><topic>Materials Testing</topic><topic>Suture Techniques</topic><topic>Sutures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davis, Daniel A.</creatorcontrib><creatorcontrib>Pellowski, Donna M.</creatorcontrib><creatorcontrib>Rawdon, Eric J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davis, Daniel A.</au><au>Pellowski, Donna M.</au><au>Rawdon, Eric J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>All Monofilament Knots Assume Sliding Conformation In Vivo</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2013-05</date><risdate>2013</risdate><volume>39</volume><issue>5</issue><spage>729</spage><epage>733</epage><pages>729-733</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>Background Surgeons are not always cognizant of the knots they tie. 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subjects Equipment Design
Humans
Materials Testing
Suture Techniques
Sutures
title All Monofilament Knots Assume Sliding Conformation In Vivo
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