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骨科手术中使用缝线的性能力学研究。

Mechanical Study of the Properties of Sutures used in Orthopedics Surgeries.

作者信息

Gomide Leandro Cardoso, Campos Dagoberto de Oliveira, Araújo Cleudmar Amaral, Menegaz Gabriela Lima, Cardoso Rafael Silva, Saad Júnior Sérgio Crosara

机构信息

Departamento de Cirurgia, Faculdade de Medicina, Universidade Federal de Uberlândia, Uberlândia, MG, Brasil.

Faculdade de Engenharia Mecânica, Universidade Federal de Uberlândia, Uberlândia, MG, Brasil.

出版信息

Rev Bras Ortop (Sao Paulo). 2019 May;54(3):247-252. doi: 10.1016/j.rbo.2018.02.001. Epub 2019 Apr 16.

Abstract

To evaluate the mechanical properties of sutures commonly used in orthopedic surgeries, characterizing their behavior through tensile tests and determining which one has greater mechanical strength.  Tensile tests of different sutures were performed in a mechanical testing machine BME 10 kN, using a 50 kgf maximum capacity loading cell. Seven samples from each suture material were tested. Both ends of the sample material were fixed in the proper metal claw, maintaining an initial length of 5 cm. Tests were performed at a speed of 20 mm/minute and at room temperature, recording data for maximum displacement and maximum force at the rupture point.  FiberWire® #2 (Artrhex, Naples, FL, USA) presented the highest mean strength of rupture (240.17 N), followed by HiFi® #2 (Conmed, Utica, NY, USA) (213.39N) and Ethibond® #5 (Ethicon Inc., Somerville, NJ, USA) (207.38 N). Ethibond® #2 (Ethicon Inc., Somerville, NJ, USA) had the lowest mean strength of rupture (97.8 N).  Non-absorbable braided polyblend sutures, more recently introduced, are superior to conventional, braided polyester sutures, and FiberWire® #2 is the most resistant suture evaluated in the present study.

摘要

为评估骨科手术中常用缝线的力学性能,通过拉伸试验表征其性能,并确定哪种缝线具有更大的机械强度。

在一台BME 10 kN的力学试验机上对不同缝线进行拉伸试验,使用最大容量为50 kgf的测力传感器。对每种缝线材料的七个样品进行测试。将样品材料的两端固定在合适的金属夹爪中,保持初始长度为5厘米。试验在室温下以20毫米/分钟的速度进行,记录断裂点处的最大位移和最大力的数据。

FiberWire® #2(美国佛罗里达州那不勒斯市的Artrhex公司)的平均断裂强度最高(240.17 N),其次是HiFi® #2(美国纽约州尤蒂卡市的Conmed公司)(213.39 N)和Ethibond® #5(美国新泽西州萨默维尔市的Ethicon公司)(207.38 N)。Ethibond® #2(美国新泽西州萨默维尔市的Ethicon公司)的平均断裂强度最低(97.8 N)。

最近推出的不可吸收编织聚混物缝线优于传统的编织聚酯缝线,FiberWire® #2是本研究中评估的最坚韧的缝线。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d63/6597418/eef2cafe6cef/10-1016-j-rbo-2018-02-001-i170225en-1.jpg

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