Lekic Nikola, Dodds Seth D
Department of Orthopaedic Surgery, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, FL; South Florida Orthopaedics, Stuart, FL.
Department of Orthopaedic Surgery, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, FL.
J Hand Surg Am. 2022 Feb;47(2):160-171.e1. doi: 10.1016/j.jhsa.2021.09.019. Epub 2021 Nov 25.
Sutures are used ubiquitously in surgery and are the most implanted materials in hand surgery. However, surgical training does not routinely include formal education on stitching materials or needles. Rather, suture familiarity is passed down by common use throughout training. We focus on a brief history and evolution of suture materials and suture needles, their material and mechanical properties, hand surgery-specific applications, other methods of skin closure (staples, skin glue, and adhesive strips), a cost analysis, and advances in musculoskeletal suturing, with a look toward the future. Equipped with a fundamental knowledge of suture needles and suture materials, hand surgeons will be better prepared to select the most appropriate, situation-specific tools.
缝线在外科手术中被广泛使用，是手部手术中植入最多的材料。然而，外科培训通常不包括关于缝合材料或缝合针的正规教育。相反，在整个培训过程中，对缝线的熟悉是通过日常使用传承下来的。我们关注缝线材料和缝合针的简史与演变、它们的材料和机械性能、手部手术的特定应用、其他皮肤闭合方法（吻合钉、皮肤胶水和粘合带）、成本分析以及肌肉骨骼缝合的进展，并展望未来。掌握了缝合针和缝线材料的基础知识后，手部外科医生将能更好地准备选择最合适的、针对具体情况的工具。
