Summary
Monofilament nylon leader line (MNL) is a popular prosthetic material used by veterinary
surgeons for extra-capsular cranial cruciate ligament repair. Careful examination
of MNL fixation methods has been reported, but a comprehensive comparison has not
been done. This study evaluated three unpublished novel methods of MNL loop fixation
[Harris wire tightener (knotter), Securos® crimp clamp system, self-locking knot] to traditional methods of MNL loop fixation
(clamped square knot, sliding half hitch knot). Loops (27.3 kgt and 36.4 kgt) were
distracted at 500 mm/min until failure by breaking or slipping. Ultimate force, elongation
and stiffness were used for comparison of loop fixation methods. All of the loops
failed by breaking within 3.0 mm of knot or clamp. The Harris knotter had significantly
greater elongation than all other loops, except for the self-locking knot. The self-locking
knot required the most force to failure; however, it was not superior if the doublestranded
configuration was considered. If the mechanical properties of the knot method is considered
in light of the subjective handling characteristics, the Securos® crimp clamp system had equivalent strength measurement for the 27.3 kgt MNL loops
and was stronger than traditional methods using the 36.4 kgt MNL. The Securos® system recommends use of the larger diameter MNL and it allows a surgeon to overcome
potential difficult handling characteristics previously encountered with knot formation
and security.
Keywords
Ligatures - nylon