Non-absorbable Suture Video

Non-absorbable Suture PDF

Non-absorbable Suture Specification

PRODUCT NAME	REF	SPECIFICATION	PIC
Non-absorbable Sutures	HP01Z19-003	4-0#95cm white/blue 1/2 ARC-8x20，Single needle
	HP01Z19-008	4-0#45cm White/blue 1/2 ARC.8x9，Double needle,30Cr13
	HP01Z15-003	2-0#95cm White/Blue 1/2 ARC.7x17，Single thread
	HP01Z04-002	2-0#95cm White/Blue
	HP01Z11-013	2#95cmWhite/Blue 1/2 ARC.12x24，Single needle
	HP01Z01-002	5#95cm White/Blue

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Non-absorbable Suture: A Comprehensive Guide

Sutures are an essential component of modern surgery, used to approximate tissues and promote wound healing. Among the different types available, non-absorbable sutures play a crucial role in orthopedic and general surgery, providing long-term strength and stability for wound closure, tendon repair, and orthopedic fixation. This article provides a comprehensive overview of non-absorbable sutures, including their features, advantages, applications in fracture treatment, and future market trends.

What is Non-absorbable Suture？

Non-absorbable sutures are surgical threads that do not degrade within the body over time. Unlike absorbable sutures, which dissolve and are absorbed by bodily enzymes or hydrolysis, non-absorbable sutures remain in place permanently unless removed surgically. These sutures are often made from materials that resist enzymatic breakdown, such as synthetic polymers, silk, or metallic wire.

Non-absorbable sutures are commonly used in orthopedic surgeries, tendon and ligament repairs, and skin closures requiring prolonged tensile strength. They are particularly valuable in high-stress areas where tissue healing takes longer, ensuring that wounds remain stable until complete recovery.

Non-absorbable Suture Features

Durability and Tensile Strength

Non-absorbable sutures maintain their strength indefinitely, making them suitable for applications requiring prolonged support, such as tendon reattachment, ligament repairs, and joint capsule closures.

Material Composition

Non-absorbable sutures are available in different materials, each with unique properties:

Synthetic sutures

Polypropylene (Prolene), Polyester (Ethibond), Nylon (Ethilon)

Natural sutures

Silk (requires removal post-healing)

Metallic sutures

Stainless steel wire (used in bone fixation and sternum closure)

Monofilament vs. Multifilament

Monofilament sutures (e.g., polypropylene, nylon) reduce tissue drag and minimize infection risk.

Multifilament sutures (e.g., braided polyester, silk) offer superior knot security but may harbor bacteria in contaminated wounds.

Low Tissue Reactivity

Modern non-absorbable sutures are engineered to minimize inflammatory reactions, reducing scarring and the risk of granuloma formation.

Excellent Knot Security

Many non-absorbable sutures, especially braided polyester and nylon, provide high knot stability, ensuring secure wound closure without premature loosening.

Non-absorbable Suture Advantages

Long-lasting Tensile Strength

Unlike absorbable sutures, which weaken over time, non-absorbable sutures provide consistent mechanical support, essential for ligament reconstructions, tendon repairs, and bone stabilization.

Reduced Risk of Dehiscence (Wound Separation)

Due to their superior tensile strength, non-absorbable sutures prevent early wound dehiscence, particularly in high-stress areas like orthopedic incisions and joint closures.

Ideal for Permanent Implants and Prosthetic Fixation

Non-absorbable sutures are frequently used in attaching orthopedic implants, fixing prostheses, and stabilizing joint replacements, ensuring secure fixation over time.

Enhanced Control Over Healing Process

In complex fractures, ligament surgeries, or spinal procedures, the surgeon may prefer permanent fixation using non-absorbable sutures to ensure controlled healing.

Versatility in Surgical Applications

Non-absorbable sutures are widely used across multiple disciplines, including orthopedic, cardiovascular, plastic, and general surgery, due to their strength and reliability.

Precautions For The Non-absorbable Suture

Potential for Chronic Foreign Body Reaction

Since non-absorbable sutures do not dissolve, some patients may develop chronic inflammation, granulomas, or foreign body reactions if the suture material is not well tolerated.

Risk of Infection in Contaminated Wounds

Multifilament non-absorbable sutures (e.g., silk, braided polyester) can harbor bacteria, increasing the risk of surgical site infections. Monofilament sutures are preferred in high-risk wounds.

Suture Removal When Necessary

Skin closures require suture removal after wound healing (typically 7–14 days post-surgery).

Deep tissue sutures may be left in place permanently, depending on the procedure.

Proper Knot Tying for Secure Fixation

Some non-absorbable sutures (e.g., polypropylene, nylon) have low friction, requiring additional knots to ensure secure closure.

Non-absorbable Suture Treatment of Fracture Types

Tendon and Ligament Repair

ACL/PCL reconstruction

Non-absorbable sutures secure ligament grafts.

Rotator cuff repair

High-tensile sutures anchor tendons to bone.

Bone and Joint Fixation

Sternal closure after thoracic surgery

Stainless steel sutures stabilize the sternum post-open-heart surgery.

Fracture fixation with wire sutures

Used in maxillofacial fractures, rib fractures, and small bone fractures.

Spinal Surgery

Used in spinal fusion procedures to anchor soft tissues around vertebral implants.

Helps in securing artificial discs and spinal stabilization systems.

The Future Market For Non-absorbable Suture

Rising Orthopedic and Sports Injuries

The increase in sports-related injuries and aging populations fuels demand for long-lasting fixation solutions, where non-absorbable sutures play a critical role.

Advancements in Suture Materials

Research is focused on developing coated, antimicrobial, and bioactive sutures to minimize infection risk while improving mechanical properties.

Growing Adoption in Robotic and Minimally Invasive Surgery (MIS)

The shift toward robot-assisted and minimally invasive orthopedic procedures necessitates precise, high-strength sutures, further expanding the market.

Expanding Healthcare Access in Emerging Markets

Rapid growth in developing regions is increasing access to advanced surgical treatments, boosting demand for high-quality non-absorbable sutures.

Summary

Non-absorbable sutures remain a cornerstone of orthopedic, trauma, and reconstructive surgery, providing long-term tensile strength, biocompatibility, and reliability for wound closure and tissue fixation. Their durability, infection resistance, and versatility make them indispensable for tendon repairs, joint stabilization, and spinal surgeries.

While non-absorbable sutures require careful handling to prevent complications such as infection, foreign body reactions, or knot security issues, their advantages far outweigh these risks in high-stress surgical applications.

With ongoing advancements in suture technology, robotic surgery, and biomedical engineering, the future of non-absorbable sutures is promising, ensuring stronger, safer, and more effective orthopedic treatments worldwide.