The Effect of Instrumentation on Suture Tensile Strength and Knot Pullout Strength of Common Suture Materials
Abstract Objective To determine the effect of instrumentation of suture material on knot security and tensile strength. Study Design In all, 5 types of suture material were used; 10 knots were tied without any instrumentation and 10 knots were tied with a hemostat holding tension on the first throw...
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| Veröffentlicht in: | Journal of surgical education 2016-01, Vol.73 (1), p.162-165 |
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| container_title | Journal of surgical education |
| container_volume | 73 |
| creator | Johnson, Peter C., MD, CPT, MC, USA Roberts, Aaron D., DO, CPT, MC, USA Hire, Justin M., MD, CPT, MC, USA Mueller, Terry L., DO, LTC, MC, USA |
| description | Abstract Objective To determine the effect of instrumentation of suture material on knot security and tensile strength. Study Design In all, 5 types of suture material were used; 10 knots were tied without any instrumentation and 10 knots were tied with a hemostat holding tension on the first throw while the second throw was made for each suture type. Each group was tested to failure with the maximum load and mode of failure recorded. The maximum load between groups of each suture type was compared; frequency of failure through knot slippage vs material fracture was also compared between groups. Results There was no significant difference observed in the maximum load to failure for any suture type between instrumented and noninstrumented groups. Additionally, there was no difference between any instrumented and noninstrumented groups for material failure vs failure due to knot slippage. Conclusions Instrumentation of suture material during two-hand tying does not affect the strength of suture material or knot security. |
| doi_str_mv | 10.1016/j.jsurg.2015.08.011 |
| format | Article |
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Study Design In all, 5 types of suture material were used; 10 knots were tied without any instrumentation and 10 knots were tied with a hemostat holding tension on the first throw while the second throw was made for each suture type. Each group was tested to failure with the maximum load and mode of failure recorded. The maximum load between groups of each suture type was compared; frequency of failure through knot slippage vs material fracture was also compared between groups. Results There was no significant difference observed in the maximum load to failure for any suture type between instrumented and noninstrumented groups. Additionally, there was no difference between any instrumented and noninstrumented groups for material failure vs failure due to knot slippage. Conclusions Instrumentation of suture material during two-hand tying does not affect the strength of suture material or knot security.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2015.08.011</identifier><identifier>PMID: 26422001</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>knot security ; Materials Testing ; Medical Knowledge ; Patient Care ; Practice-Based Learning and Improvement ; Surgery ; suture material ; suture strength ; Suture Techniques - instrumentation ; Sutures ; Tensile Strength</subject><ispartof>Journal of surgical education, 2016-01, Vol.73 (1), p.162-165</ispartof><rights>2015</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-2b8dc07ccf0212c684aac6f08edc43daff7c9fc99d2a86500528d5b4e63092d93</citedby><cites>FETCH-LOGICAL-c414t-2b8dc07ccf0212c684aac6f08edc43daff7c9fc99d2a86500528d5b4e63092d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jsurg.2015.08.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26422001$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Peter C., MD, CPT, MC, USA</creatorcontrib><creatorcontrib>Roberts, Aaron D., DO, CPT, MC, USA</creatorcontrib><creatorcontrib>Hire, Justin M., MD, CPT, MC, USA</creatorcontrib><creatorcontrib>Mueller, Terry L., DO, LTC, MC, USA</creatorcontrib><title>The Effect of Instrumentation on Suture Tensile Strength and Knot Pullout Strength of Common Suture Materials</title><title>Journal of surgical education</title><addtitle>J Surg Educ</addtitle><description>Abstract Objective To determine the effect of instrumentation of suture material on knot security and tensile strength. Study Design In all, 5 types of suture material were used; 10 knots were tied without any instrumentation and 10 knots were tied with a hemostat holding tension on the first throw while the second throw was made for each suture type. Each group was tested to failure with the maximum load and mode of failure recorded. The maximum load between groups of each suture type was compared; frequency of failure through knot slippage vs material fracture was also compared between groups. Results There was no significant difference observed in the maximum load to failure for any suture type between instrumented and noninstrumented groups. Additionally, there was no difference between any instrumented and noninstrumented groups for material failure vs failure due to knot slippage. Conclusions Instrumentation of suture material during two-hand tying does not affect the strength of suture material or knot security.</description><subject>knot security</subject><subject>Materials Testing</subject><subject>Medical Knowledge</subject><subject>Patient Care</subject><subject>Practice-Based Learning and Improvement</subject><subject>Surgery</subject><subject>suture material</subject><subject>suture strength</subject><subject>Suture Techniques - instrumentation</subject><subject>Sutures</subject><subject>Tensile Strength</subject><issn>1931-7204</issn><issn>1878-7452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1rFTEQhhdRbK3-AkH20ptdJ9nsbvZCQQ6tFisK53gdcpJJm3U3qfkQ-u_N8VQL3ggDM5D3nck8U1UvCbQEyPBmbueYw3VLgfQt8BYIeVSdEj7yZmQ9fVzqqSPNSIGdVM9inAF6NtHpaXVCB0YpADmt1t0N1ufGoEq1N_WliynkFV2SyXpXl9jmlAPWO3TRLlhvU0B3nW5q6XT9yflUf83L4nN6eCl9Nn5dH7yfZcJg5RKfV09MSfjiPp9V3y7Od5uPzdWXD5eb91eNYoSlhu65VjAqZYASqgbOpFSDAY5asU5LY0Y1GTVNmko-9GUvynW_Zzh0MFE9dWfV62Pf2-B_ZIxJrDYqXBbp0OcoyDgAH0jfQZF2R6kKPsaARtwGu8pwJwiIA2cxi9-cxYGzAC4K5-J6dT8g71fUfz1_wBbB26MAy5o_LQYRlUWnUNtQWAvt7X8GvPvHrxbrrJLLd7zDOPscXCEoiIhUgNgeTn24NCk0yg9o9wvZGKXh</recordid><startdate>20160101</startdate><enddate>20160101</enddate><creator>Johnson, Peter C., MD, CPT, MC, USA</creator><creator>Roberts, Aaron D., DO, CPT, MC, USA</creator><creator>Hire, Justin M., MD, CPT, MC, USA</creator><creator>Mueller, Terry L., DO, LTC, MC, USA</creator><general>Elsevier Inc</general><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>20160101</creationdate><title>The Effect of Instrumentation on Suture Tensile Strength and Knot Pullout Strength of Common Suture Materials</title><author>Johnson, Peter C., MD, CPT, MC, USA ; Roberts, Aaron D., DO, CPT, MC, USA ; Hire, Justin M., MD, CPT, MC, USA ; Mueller, Terry L., DO, LTC, MC, USA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-2b8dc07ccf0212c684aac6f08edc43daff7c9fc99d2a86500528d5b4e63092d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>knot security</topic><topic>Materials Testing</topic><topic>Medical Knowledge</topic><topic>Patient Care</topic><topic>Practice-Based Learning and Improvement</topic><topic>Surgery</topic><topic>suture material</topic><topic>suture strength</topic><topic>Suture Techniques - instrumentation</topic><topic>Sutures</topic><topic>Tensile Strength</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Johnson, Peter C., MD, CPT, MC, USA</creatorcontrib><creatorcontrib>Roberts, Aaron D., DO, CPT, MC, USA</creatorcontrib><creatorcontrib>Hire, Justin M., MD, CPT, MC, USA</creatorcontrib><creatorcontrib>Mueller, Terry L., DO, LTC, MC, USA</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>Journal of surgical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Peter C., MD, CPT, MC, USA</au><au>Roberts, Aaron D., DO, CPT, MC, USA</au><au>Hire, Justin M., MD, CPT, MC, USA</au><au>Mueller, Terry L., DO, LTC, MC, USA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Effect of Instrumentation on Suture Tensile Strength and Knot Pullout Strength of Common Suture Materials</atitle><jtitle>Journal of surgical education</jtitle><addtitle>J Surg Educ</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>73</volume><issue>1</issue><spage>162</spage><epage>165</epage><pages>162-165</pages><issn>1931-7204</issn><eissn>1878-7452</eissn><abstract>Abstract Objective To determine the effect of instrumentation of suture material on knot security and tensile strength. Study Design In all, 5 types of suture material were used; 10 knots were tied without any instrumentation and 10 knots were tied with a hemostat holding tension on the first throw while the second throw was made for each suture type. Each group was tested to failure with the maximum load and mode of failure recorded. The maximum load between groups of each suture type was compared; frequency of failure through knot slippage vs material fracture was also compared between groups. Results There was no significant difference observed in the maximum load to failure for any suture type between instrumented and noninstrumented groups. Additionally, there was no difference between any instrumented and noninstrumented groups for material failure vs failure due to knot slippage. Conclusions Instrumentation of suture material during two-hand tying does not affect the strength of suture material or knot security.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26422001</pmid><doi>10.1016/j.jsurg.2015.08.011</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1931-7204 |
| ispartof | Journal of surgical education, 2016-01, Vol.73 (1), p.162-165 |
| issn | 1931-7204 1878-7452 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | knot security Materials Testing Medical Knowledge Patient Care Practice-Based Learning and Improvement Surgery suture material suture strength Suture Techniques - instrumentation Sutures Tensile Strength |
| title | The Effect of Instrumentation on Suture Tensile Strength and Knot Pullout Strength of Common Suture Materials |
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