PMID: 9544964Apr 17, 1998Paper

Knot properties of alternating sliding knots with different patterns in comparison to alternating and simple sliding knots

Journal of the American College of Surgeons
Z BabettyS Altintaş

Abstract

This study attempts to compare the alternating sliding knots with different patterns with the alternating and simple sliding knots. Silk and nylon sutures of 2-0 and 4-0 United States Pharmacopeia (USP) sizes were mechanically tested. The values of knot holding capacities (KHCs) varied depending on knot configuration, suture material, and size. The parallel alternating knot with different patterns showed a high KHC for silk suture of both sizes. For nylon, the alternating knots with different patterns were comparable to the simple sliding knots. When we compared silk with nylon in knots with different patterns we observed the following. For size 2-0 loops, the nonidentical knot of nylon was higher in KHC than that of silk, and the parallel knot of silk was higher in KHC than that of nylon. Loops of 4-0 showed higher KHCs for the parallel knot in nylon than in silk but similar values for both materials with the nonidentical knot. The parallel alternating knot with different patterns was the most efficient for nylon 4-0. The silk loops had good efficiencies for both sizes. The silk suture knots were all reliable. The nylon suture showed unreliability for the parallel and alternating nonidentical knots of both sizes and the altern...Continue Reading

References

Sep 1, 1986·Obstetrics and Gynecology·J B TrimbosP J Klopper

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Citations

Nov 13, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·T E IndJ H Shepherd
Sep 6, 2005·World Journal of Surgery·Xavier BotetJoan Molinas
Dec 13, 2016·Orthopedics·Pascal BoileauAdam J Seidl
Jul 3, 2018·Journal of the American Veterinary Medical Association·Gessica GiustoMarco Gandini
Jun 9, 2016·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Gajanan Yelme, Atul Jindal
Oct 17, 2019·General Thoracic and Cardiovascular Surgery·Shun WatanabeMasanori Nishimura
Apr 26, 2008·Annals of the Royal College of Surgeons of England·O TilloD Oudit

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