Physical and Mechanical Evaluation of Five Suture Materials on Three Knot Configurations: An in Vitro Study

The aim of this study was to evaluate and compare the mechanical properties of five suture materials on three knot configurations when subjected to different physical conditions. Five 5-0 (silk, polyamide 6/66, polyglycolic acid, glycolide-e-caprolactone copolymer, polytetrafluoroethylene) suture materials were used. Ten samples per group of each material were used. Three knot configurations were compared A.2=1=1 (forward⁻forward⁻reverse), B.2=1=1 (forward⁻reverse⁻forward), C.1=2=1 (forward⁻forward⁻reverse). Mechanical properties (failure load, elongation, knot slippage/breakage) were measured using a universal testing machine. Samples were immersed in three different pH concentrations (4,7,9) at room temperature for 7 and 14 days. For the thermal cycle process, sutures were immersed in two water tanks at different temperatures (5 and 55 °C). Elongation and failure load were directly dependent on the suture material. Polyglycolic acid followed by glycolide-e-caprolactone copolymer showed the most knot failure load, while polytetrafluoroethylene showed the lowest (P < 0.001). Physical conditions had no effect on knot failure load (P = 0.494). Statistically significant differences were observed between knot configurations (P = 0.008). Additionally, individual assessment of suture material showed statistically significant results for combinations of particular knot configurations. Physical conditions, such as pH concentration and thermal cycle process, have no influence on suture mechanical properties. However, knot failure load depends on the suture material and knot configuration used. Consequently, specific suturing protocols might be recommended to obtain higher results of knot security.

SYNTHESIS AND CHARACTERISATION OF ELECTROSPUN CHITOSAN MEMBRANES REINFORCED BY HALLOYSITE NANOTUBES

We report on the electrospinning method to synthesize and characterise chitosan membranes reinforced by halloysite nanotubes (HNTs). The synthesis process addressed two levels of HNTs concentration, i.e., 2 and 5 wt.%. Tensile testing was carried out to determine the strength (σ), strain (ε) at σ and elastic modulus (E) of the membranes. Tensile test data revealed that the membranes reinforced with 5 wt.% HNTs yielded the highest E (0.153 ± 0.02 GPa) and strength (22.53 ± 8.57 MPa). Electron micrographs of the fractured surfaces showed uniform dispersions of HNTs in the chitosan matrix. Infrared spectra indicated interactions between chitosan and inner and outer surfaces of HNTs. Thermogravimetric analysis demonstrated an increase in thermal stability with the addition of HNTs. Membranes immersed in simulated body fluid system for 28 days revealed the formation of dense apatite blocks with the addition of HNTs. Surface roughness increased with the addition of HNTs resulted a rise in degree of contact angle.