Modification of the properties of a suture thread with a tough gel coating: A baseline ex‐vivo study

Author:

Mazy David12,Ma Zhenwei3,Chung‐Tze‐Cheong Christopher3,Lamer Stephanie1,Li Jianyu34,Nault Marie‐Lyne125ORCID

Affiliation:

1. Faculty of Medicine University of Montreal Montréal Quebec Canada

2. Department of Surgery CHU Sainte‐Justine Montréal Quebec Canada

3. Department of Mechanical Engineering McGill University Montreal Quebec Canada

4. Department of Biomedical Engineering McGill University Montréal Quebec Canada

5. Department of Orthopedic Surgery CIUSSS Hôpital du Sacré‐Cœur de Montréal (HSCM) Montreal Quebec Canada

Abstract

AbstractThe mechanical properties of sutures are important for wound closure and meniscus repair. A tough gel coating technology has been developed to modify and functionalize sutures, but its effects on suture degradation remain unexplored. Our aim is to investigate how a tough gel coating mediates the properties of the suture. The Polyglactin910 (Vicryl) suture was chosen because it is widely used, strong, easy to handle, and degradable. This study compared six pristine Vicryl sutures and six coated Vicryl sutures at 0, 2, 4, and 6 weeks. All the sutures were soaked in phosphate‐buffered saline (PBS), to mimic degradation in physiological conditions, and tensile strength was tested at each time point. The pH of the soaking mediums was measured weekly and compared at 4, 5, and 6 weeks. No significant difference (p = 0.059 and p = 0.576) was found between the absolute and normalized breaking force of coated and pristine Vicryl sutures at 0, 2, 4, and 6 weeks. After 4 weeks of immersion, the soaking medium became more acidic for both suture types. The decrease in pH was less significant for coated Vicryl sutures than for pristine ones (p < 0.001) at 4, 5, and 6 weeks of immersion. Although coating does not affect the strength of Vicryl sutures soaked in PBS, it can effectively act as a buffer to the acidic environment caused by suture degradation, which could help reduce inflammation. Hydrogel coating is a promising technology to modify suture characteristics.

Funder

Canadian Institutes of Health Research

Publisher

Wiley

Subject

Orthopedics and Sports Medicine

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