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DOI: 10.1055/s-0038-1632791
In vitro evaluation of fluorocarbon leader line for use as a fabella-tibial suture
Publication History
Received
14 June 2003
Accepted
18 September 2003
Publication Date:
22 February 2018 (online)
Summary
Cranial cruciate ligament rupture is a common injury in dogs, for which a variety of surgical techniques have been described. A commonly performed surgical technique is extracapsular stabilization with a lateral fabella-tibial suture (LFS) using large diameter nylon leader line (NLL). Inherent properties of NLL such as memory, low coefficient of friction, and large diameter may compromise knot security. Fluorocarbon (polyvinylidene fluoride; PVDF) has been investigated as a biomaterial for a variety of implants and is available as a high tensile strength fluorocarbon leader line (FCL). For a given tensile strength FCL is one-half the diameter of NLL. This study evaluated the force at failure, elongation, and stiffness of FCL compared to NLL for use as a LFS. The effects of steam and ethylene oxide sterilization on FCL were also evaluated. The results of this study demonstrate similar force at failure and stiffness for FCL when compared to NLL. In addition, the use of FCL may eliminate the elongation under low load observed with NLL. The mechanical properties of FCL loops were not affected by ethylene oxide sterilization. In contrast, steam sterilization caused significant detrimental effects on the mechanical properties of FCL and is not recommended. The reduced diameter and pliable feel of FCL allow for superior handling, formation of a less bulky and potentially more secure knot, and less foreign material in the region of implantation. FCL appears to be a suitable alternative material to NLL for a lateral fabella-tibial suture.
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References
- 1 Anderson CC, Tomlinson JL, Daly WR, Carson WL, Payne JT, Wagner-Mann CC. Biomechanical evaluation of a crimp clamp system for loop fixation of monofilament nylon leader material used for stabilization of the canine stifle joint. Vet Surg 1998; 27: 533-9.
- 2 Brosnahan RE, Kenner GH, Moyle DD, von Recum AF. Suitability of pigmented polyvinylide fluoride encapsulated wire for implantation in the dog. J Biomed Mater Res 1981; 15: 111-3.
- 3 Caporn TM, Roe SC. Biomechanical evaluation of the suitability of monofilament nylon fishing and leader line for extra-articular stabilization of the canine cruciate ligament deficient stifle. Vet Comp Orthop Traumatol 1996; 09: 126-33.
- 4 Flo GC. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-6.
- 5 Hong T, King MW, Michaelson F, Cheung LWK, Mary C, Guzman R, Guidoin R. Development of in vitro performance tests and evaluation of nonabsorbable monofilament sutures for cardiovascular surgery. Asaio J 1998; 44: 776-85.
- 6 Huber DJ, Egger EL, James SP. The effect of knotting method on the structural properties of large diameter nonabsorbable monofilament sutures. Vet Surg 1999; 28: 260-7.
- 7 Klinge U, Klosterhalfen B, Ottinger AP, Junge K, Schumpelick V. PVDF as a new polymer for the construction of surgical meshes. Biomaterials 2002; 23: 3487-93.
- 8 Laroche G, Marois Y, Schwarz E, Guidoin R, King MW, Paris E, Douville Y. Polyvinylidene fluoride monofilament sutures: Can they be used safely for long-term anastomoses in the thoracic aorta?. Artif Organs 1995; 19: 1190-9.
- 9 Lewis DD, Milthorpe BK, Bellenger CR. Mechanical comparison of materials used for extracapsular stabliization of the stifle joint in dogs. Aust Vet J 1997; 75: 890-6.
- 10 Nwadkie BS, Roe SC. Mechanical comparison of suture material and knot type used for fabello-tibial sutures. Vet Comp Orthop Traumatol 1998; 11: 47-52.
- 11 Peycke LE, Kerwin SC, Hosgood G, Metcalf JB. Mechanical comparison of six loop fixation methods with monofilament nylon leader line. Vet Comp Orthop Traumatol 2002; 04: 210-4.
- 12 Piermattei DL, Flo GL. Brinker, Piermattei, and Flo’s Handbook of Small Animal Orthopedics and Fracture Repair. 3rd ed. Philadelphia, PA: W. B. Saunders; 1997: 516-80.
- 13 Shires PK, Hulse DS, Liu W. The under-andover fascial replacement technique for anterior cruciate ligament rupture in dogs: A retrospective study. J Am Anim Hosp Assoc 1984; 20: 69-77.
- 14 Sicard GK, Hayashi K, Manley PA. Evaluation of 5 types of fishing material, 2 sterilization methods, and a crimp-clamp system for extraarticular stabilization of the canine stifle joint. Vet Surg 2000; 31: 78-94.
- 15 Sicard GK, Meinen J, Phillips T, Manley PA. Comparison of fishing line for repair of the cruciate deficient stifle. Vet Comp Orthop Traumatol 1999; 44: 138-41.
- 16 Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract 1993; 23: 777-95.
- 17 Smith GK, Torg JS. Fibular head transposition for repair of cruciate-deficient stifle in the dog. J Am Vet Med Assoc 1985; 187: 375-83.
- 18 Urban E, King MW, Guidoin R, Laroche G, Marois Y, Martin L, Cardou A, Douville Y. Why make monofilament sutures out of polyvinylidene fluoride?. Asaio J 1994; 40: 145-56.
- 19 Vasseur PB. Clinical results following nonoperative management for rupture of the cranial cruciate ligament in dogs. Vet Surg 1984; 13: 243-6.
- 20 Wada A, Kubota H, Hatanaka H, Miura H, Iwamoto Y. Comparison of mechanical properties of polyvinylidene fluoride and polypropylene monofilament sutures used for flexor tendon repair. Journal of Hand Surgery 2001; 26B: 212-6.