SUTURE TYPES Flashcards
1
Q
- Monofilament, non–absorbable, not coated
- Sizes 7 to 10–0
- Mostly historical, can be used for trauma
A
Surgical Steel
2
Q
- Natural, braided, non–absorbable
- Coated with beeswax
- Size 5 to 9–0
- Not used often, mainly for plastic surgery and ophthalmology
A
Perma–Hand (silk)
3
Q
- Synthetic, non–absorbable, monofilament
- Sizes 2 to 11–0
- Loses 20% of tension per year
- Skin closure
A
Ethilon (Nylon)
4
Q
- Synthetis, braided, non–absorbable
- Coated with polybutilate
- Sizes 5 to 7–0
- Good for fascia closures, ligament and tendon reconstruction
A
Ethibond (Polyester)
5
Q
• Synthetic, monofilament, non–absorbable
○ Can be used if infection or secondary closure
• Not coated
• Sizes 2 to 10–0
• Used a lot, for skin if wants non–absorbable
• Hard to handle, slippy
A
Prolene (polypropylene)
6
Q
- Special non–absorbable suture
- Braided poly blend
- Used for tendon to bone repair, can be used arthroscopically
- May not come attached to needle
- Expensive, silicone sheeting may cause inflammation or granuloma
A
Fiberwire
7
Q
- Natural monofilament
- Not coated
- Absorbed in 70 days
- Sizes 3 to 7–0 or fast acting 5–0 to 7–0
- Used for tissues that heal very rapidly, not used often in podiatry
A
Plain Gut (CatGut)
8
Q
- Natural monofilament
- Absorbed in 90 days
- Sizes 3 to 7–0
- Covered in chormic salts, otherwise is the same as plain gut
A
Chromic Gut
9
Q
- Synthetic, monofilament
- Not coated
- Sizes 1 to 6–0
- Lasts 91 to 119 days
- Used a lot for skin closures
A
Monocryl (poliglecaprone 25)
10
Q
- Synthetic, braided
- Coated
- Sizes 3 to 10–0
- Absorbed in 56–70 days
- Used a lot, capsular, periosteal, subcutaneous, tends to be more reactive
A
Vicryl
11
Q
- Synthetic, monofilament
- Not coated
- Sizes 2 to 9–0
- Absorption time 182 to 238 days
- Used to treat split tear of tendon, degenerative tendon
A
PDS II(polydioxanone)
