Journal Basic Info
- Impact Factor: 1.989**
- H-Index: 6
- ISSN: 2637-4625
- DOI: 10.25107/2637-4625
Major Scope
- Plastic Surgery
- Pediatric Surgery
- Cardiac Surgery
- Endocrine Surgery
- Vascular Surgery
- Surgical Procedures
- Gynecological Surgery
- Cancer Surgery
Abstract
Citation: World J Surg Surg Res. 2024;7(1):1540.DOI: 10.25107/2637-4625.1540
Biomechanical Investigation of the 0° Longitudinal Pull versus the 90° Transverse Pull Force on Knot Security
Lin SY, McGrouther DA and Wong YR
Yong Loo Lin School of Medicine, National University of Singapore, Singapore Biomechanics Laboratory, Singapore General Hospital, Singapore Department of Hand Surgery and Reconstructive Microsurgery, Singapore General Hospital, Singapore
*Correspondance to: Wong Yoke Rung
PDF Full Text Research Article | Open Access
Abstract:
Fewer biomechanical studies focused on the intricacies of the suturing steps and techniques and its influence on knot security. This paper aims to develop a biomechanical testing method and evaluate the biomechanical performance of reef knots made by using the 0° longitudinal pull and 90° transverse pull at the last throw. Forty samples of fresh porcine skin were sutured with either a 0° longitudinal pull (n=20) or a 90° transverse pull (n=20) using Prolene® 4.0 suture. The tying force was standardized at 4 ± 0.5 N and then survival testing on the samples was performed. The medians of the slippage/breakage force and the nth cycles before breakage were tabulated. The 0° longitudinal pull had a higher survival rate compared to the 90° transverse pull. However, statistical analysis reported no statistically significant difference in between the group of 0° longitudinal pull and 90° transverse pull for the knot strength and the nth cycles before breakage. The low survival and nth cycles before breakage of the 90° transverse pull could be attributed to the steeper learning curve. It warrants further studies to investigate the effects of different types of suture techniques, suture material and operators of a different skill level.
Keywords:
Biomechanical testing; Tying force; Prolene® 4.0; Reef knot; Knot configuration
Cite the Article:
Lin SY, McGrouther DA, Wong YR. Biomechanical Investigation of the 0° Longitudinal Pull versus the 90° Transverse Pull Force on Knot Security. World J Surg Surgical Res. 2024; 7: 1540..