Security Comparison of Various Surgical Knots Using Nylon Suture.
Adv Skin Wound Care
; 37(7): 354-359, 2024 Jul 01.
Article
em En
| MEDLINE
| ID: mdl-38595155
ABSTRACT
OBJECTIVE:
To evaluate the strengths of various surgical knot techniques, including square knot, surgeon's knot, granny knot, and random knot with the same three throws.METHODS:
The authors tested each of the four knot techniques using four different gauges of nylon (polyamide [Ethicon]) 4-0, 5-0, 6-0, and 7-0. Each knot type was tested 20 times per nylon gauge, for a total of 320 knots tested. The authors used a static pull machine to measure elongation at yield and maximal force to break.RESULTS:
A comparison of elongation at yield revealed that the surgeon's knot was superior to the square knot, granny knot, and random knots across all gauges of nylons. Further, a comparison of maximal force to break revealed that the surgeon's knot was superior to the square knot, granny knot, and random knots when using 4-0, 5-0, and 6-0 nylon but not when using 7-0 nylon.CONCLUSIONS:
The surgeon's knot was the strongest, and random knot was the weakest when the authors used nylon 4-0, 5-0, and 6-0. While handling fine suture materials such as 7-0 nylon, knot failure appears to be unrelated to the knot technique used. This study provides not only fundamental guidance for tying surgical knots using nylon, but also a rational basis for an adequately strong knot choice in various fields of surgery.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Suturas
/
Teste de Materiais
/
Técnicas de Sutura
/
Nylons
Limite:
Humans
Idioma:
En
Revista:
Adv Skin Wound Care
/
Adv. skin wound care
/
Advances in skin & wound care
Assunto da revista:
ENFERMAGEM
Ano de publicação:
2024
Tipo de documento:
Article