Polypropylene sutures can be easily damaged when it is fixed by a clamp during knot tying. Under microscopic examination, polypropylene sutures were found to be deformed by clamp fixation, while the others were not. The ultimate failure load achieved by monofilament sutures Polyglyconate (Maxon) and Nylon (Ethilon) and braided absorbable Polyglactin (Vicryl) were not affected by fixing the first throw. The first throw of monofilament sutures have tendency to untie, which decrease loop tension and result in loss of achieved tissue approximation.Īlthough a common practice is to fix the first throw via a clamp before the locking one is tied, it can be hypothesized that a potential deforming effect can lead to a decrease in ultimate failure load of a monofilament suture loop.įixing the first throw significantly reduced the ultimate failure load of monofilament nonabsorbable polypropylene sutures (Prolene) (62.2 ± 8 N vs. Prolene is an excellent choice for implant surgery or periodontal surgery but can be used in a wide range of procedures. Monofilament sutures have higher bending stiffness and tendency to untie than multifilament sutures. Prolene - the oral surgeons favourite suture Non-absorbable - synthetic - monofilament. As the knot is the stress riser in a suture loop, the majority of acute loop failure occurs just adjacent to the knot. This suture loop is prone to failure due to suture elongation, knot slip and suture breakage. In every repair, a suture loop is created. Sutures are the mainstay of orthopedic procedures like fascial closures, tendon repairs or tenodesis. Although sutures evolved in last decade and the product spectrum broadened largely, they can be still classified into two: monofilament and multifilament.

Nushell 0 prolene suture