Negligible
|
80% at 7 d; 75% at 14 d; 65% at 21 d
|
N/A
|
180
|
Unidirectional barbed suture; equivalent to strength of suture one size smaller‐choose size as you would conventional suture.
|
|
|
|
Stratafix PDO, PDO Plus
|
Prolonged absorbable monofilament barbed
|
Hydrolysis
|
Negligible
|
80% at 7 d; 75% at 14 d; 65% at 21 d
|
N/A
|
120–180
|
Stratafix comes in uni‐ and bidirectional strands with symmetrical or spiral barbs. Symmetrical unidirectional barbed sutures are recommended for high tension repairs. PDS plus is antibacterial
|
|
|
|
Quill PDO
|
Prolonged absorbable monofilament barbed
|
Hydrolysis
|
Negligible
|
67–80% at 14 d; 50–80% at 28 d
|
N/A
|
180
|
Uni‐ and bidirectional barbed suture; choose one size larger due to strength loss from barbs
|
|
|
Polyamide
|
Ethilon; Dermalon; Surgilon
|
Nonabsorbable monofilament
|
N/A
|
Minimal
|
15–20% loss in 365 d; retains 80% indefinitely
|
Fair
|
N/A
|
Slowly loses strength over years by process of hydrolysis
|
|
|
|
Nurolon
|
Nonabsorbable multifilament
|
N/A
|
Minimal
|
15–20% loss in 365 d; retains 80% indefinitely
|
Fair
|
N/A
|
Slowly loses strength over years by process of hydrolysis
|
|
|
|
Quill Nylon
|
Nonabsorbable monofilament barbed
|
N/A
|
Minimal
|
Similar to conventional nylon
|
N/A
|
N/A
|
Similar to conventional nylon
|
|
|
Polybutester
|
Novafil
|
Nonabsorbable monofilament
|
N/A
|
Negligible
|
N/A
|
Good
|
N/A
|
Handles well for monofilament; stretchy
|
|
|
|
V‐Loc PBT
|
Nonabsorbable monofilament barbed
|
N/A
|
Negligible
|
N/A
|
N/A
|
N/A
|
Unidirectional barbed suture; permanent soft tissue approximation; equivalent to strength of suture one size smaller – choose size as you would conventional suture
|
|
|
Polypropylene
|
Prolene; Surgipro; Surgipro II
|
Nonabsorbable monofilament
|
N/A
|
Negligible
|
N/A
|
Good
|
N/A
|
Does not lose appreciable strength over long periods of time; one of most inert suture besides steel
|
|
|
|
Quill Polypropylene
|
Nonabsorbable monofilament barbed
|
N/A
|
Negligible
|
N/A
|
N/A
|
N/A
|
Uni‐ and bidirectional barbed suture; choose one size larger due to strength loss from barbs
|
|
|
|
Stratafix Polypropylene
|
Nonabsorbable monofilament barbed
|
N/A
|
Negligible
|
N/A
|
N/A
|
N/A
|
Uni‐ or bidirectional spiral barb configuration. Similar characteristics otherwise with conventional polypropylene
|
|
|
Hexafluoropropylene VDF
|
Pronova
|
Nonabsorbable monofilament
|
N/A
|
Negligible
|
N/A
|
Good to very good
|
N/A
|
Good alternative to polypropylene; better handling and strength
|
|
|
Stainless Steel
|
Surgical Stainless Steel (mono); Steel
|
Nonabsorbable monofilament
|
N/A
|
Negligible
|
N/A
|
Excellent
|
N/A
|
Difficult to handle; may tend to cut through soft tissues
|
|
|
|
Surgical Stainless Steel (Multi); Flexon
|
Nonabsorbable multifilament
|
N/A
|
Negligible
|
N/A
|
Excellent
|
N/A
|
Multifilament improves handling; excellent knot security
|
|
|
Silk
|
Permahand; Sofsilk
|
Nonabsorbable multifilament
|
Proteolytic enzymes
|
Moderate to severe
|
70% after 14 d; 50% after 30 d
|
Fair
|
Gradual encapsulation by fibrous tissue
|
Considered one of the best handling sutures available
|
|
|
Polyester
|
|
