Assessment of Needle Point Behavior in Cartilage: Investigating Puncture Force and Suture Retention
Suturing cartilage can be challenging, especially when tissue shredding occurs due to repeated needle passes. The study aimed to evaluate two primary outcomes: (1) to evaluate the force required to puncture cartilage and (2) the suture retention strength, comparing two distinct needle geometries. Pu...
Gespeichert in:
| Veröffentlicht in: | Annals of plastic surgery Jg. 95; H. 4; S. 423 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
01.10.2025
|
| Schlagworte: | |
| ISSN: | 1536-3708, 1536-3708 |
| Online-Zugang: | Weitere Angaben |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | Suturing cartilage can be challenging, especially when tissue shredding occurs due to repeated needle passes. The study aimed to evaluate two primary outcomes: (1) to evaluate the force required to puncture cartilage and (2) the suture retention strength, comparing two distinct needle geometries.
Puncture force and tear-through force were measured with a tensiometer and fresh rabbit ear cartilage. Taper point needles tested included: RB-1 on 3-0 Monocryl, TF on 4-0 Monocryl, BB on 5-0 Prolene, and C-1 on 5-0 Prolene. Reverse cutting needles included: PS-2 on 3-0 Monocryl, P-3 on 4-0, PS-3 on 5-0, and P-3 on 5-0 Prolene.
The mean force required to puncture cartilage with RB-1, TF, and C-1 needles was 0.66 Newtons (N), 0.90 N, and 0.69 N. For PS-2, 4-0 P-3, and 5-0 P-3 needles, the mean puncture force was 0.63 N, 0.74 N, and 0.61 N, respectively. The mean tear-through force of cartilage with sutures placed by RB-1, TF, BB, PS-2, P-3, PS-3 needles was 14 N, 16.03 N, 10.24 N, 9.91 N, 13.5 N, and 8.57 N, respectively.
Although both needle geometries require similar puncture forces, reverse cutting needles demonstrated a higher propensity for cartilage tearing. These findings suggest that taper point needles may offer superior retention and diminished cartilage trauma for suturing cartilage. |
|---|---|
| AbstractList | Suturing cartilage can be challenging, especially when tissue shredding occurs due to repeated needle passes. The study aimed to evaluate two primary outcomes: (1) to evaluate the force required to puncture cartilage and (2) the suture retention strength, comparing two distinct needle geometries.BACKGROUNDSuturing cartilage can be challenging, especially when tissue shredding occurs due to repeated needle passes. The study aimed to evaluate two primary outcomes: (1) to evaluate the force required to puncture cartilage and (2) the suture retention strength, comparing two distinct needle geometries.Puncture force and tear-through force were measured with a tensiometer and fresh rabbit ear cartilage. Taper point needles tested included: RB-1 on 3-0 Monocryl, TF on 4-0 Monocryl, BB on 5-0 Prolene, and C-1 on 5-0 Prolene. Reverse cutting needles included: PS-2 on 3-0 Monocryl, P-3 on 4-0, PS-3 on 5-0, and P-3 on 5-0 Prolene.METHODSPuncture force and tear-through force were measured with a tensiometer and fresh rabbit ear cartilage. Taper point needles tested included: RB-1 on 3-0 Monocryl, TF on 4-0 Monocryl, BB on 5-0 Prolene, and C-1 on 5-0 Prolene. Reverse cutting needles included: PS-2 on 3-0 Monocryl, P-3 on 4-0, PS-3 on 5-0, and P-3 on 5-0 Prolene.The mean force required to puncture cartilage with RB-1, TF, and C-1 needles was 0.66 Newtons (N), 0.90 N, and 0.69 N. For PS-2, 4-0 P-3, and 5-0 P-3 needles, the mean puncture force was 0.63 N, 0.74 N, and 0.61 N, respectively. The mean tear-through force of cartilage with sutures placed by RB-1, TF, BB, PS-2, P-3, PS-3 needles was 14 N, 16.03 N, 10.24 N, 9.91 N, 13.5 N, and 8.57 N, respectively.RESULTSThe mean force required to puncture cartilage with RB-1, TF, and C-1 needles was 0.66 Newtons (N), 0.90 N, and 0.69 N. For PS-2, 4-0 P-3, and 5-0 P-3 needles, the mean puncture force was 0.63 N, 0.74 N, and 0.61 N, respectively. The mean tear-through force of cartilage with sutures placed by RB-1, TF, BB, PS-2, P-3, PS-3 needles was 14 N, 16.03 N, 10.24 N, 9.91 N, 13.5 N, and 8.57 N, respectively.Although both needle geometries require similar puncture forces, reverse cutting needles demonstrated a higher propensity for cartilage tearing. These findings suggest that taper point needles may offer superior retention and diminished cartilage trauma for suturing cartilage.CONCLUSIONSAlthough both needle geometries require similar puncture forces, reverse cutting needles demonstrated a higher propensity for cartilage tearing. These findings suggest that taper point needles may offer superior retention and diminished cartilage trauma for suturing cartilage. Suturing cartilage can be challenging, especially when tissue shredding occurs due to repeated needle passes. The study aimed to evaluate two primary outcomes: (1) to evaluate the force required to puncture cartilage and (2) the suture retention strength, comparing two distinct needle geometries. Puncture force and tear-through force were measured with a tensiometer and fresh rabbit ear cartilage. Taper point needles tested included: RB-1 on 3-0 Monocryl, TF on 4-0 Monocryl, BB on 5-0 Prolene, and C-1 on 5-0 Prolene. Reverse cutting needles included: PS-2 on 3-0 Monocryl, P-3 on 4-0, PS-3 on 5-0, and P-3 on 5-0 Prolene. The mean force required to puncture cartilage with RB-1, TF, and C-1 needles was 0.66 Newtons (N), 0.90 N, and 0.69 N. For PS-2, 4-0 P-3, and 5-0 P-3 needles, the mean puncture force was 0.63 N, 0.74 N, and 0.61 N, respectively. The mean tear-through force of cartilage with sutures placed by RB-1, TF, BB, PS-2, P-3, PS-3 needles was 14 N, 16.03 N, 10.24 N, 9.91 N, 13.5 N, and 8.57 N, respectively. Although both needle geometries require similar puncture forces, reverse cutting needles demonstrated a higher propensity for cartilage tearing. These findings suggest that taper point needles may offer superior retention and diminished cartilage trauma for suturing cartilage. |
| Author | Maloney, McKenzie E Montilla, Richard D Chun, Benjamin D Liang, Dean A Potter, Christian T Schanbacher, Carl F |
| Author_xml | – sequence: 1 givenname: McKenzie E orcidid: 0000-0003-1621-6458 surname: Maloney fullname: Maloney, McKenzie E – sequence: 2 givenname: Christian T surname: Potter fullname: Potter, Christian T – sequence: 3 givenname: Benjamin D surname: Chun fullname: Chun, Benjamin D – sequence: 4 givenname: Dean A surname: Liang fullname: Liang, Dean A – sequence: 5 givenname: Richard D surname: Montilla fullname: Montilla, Richard D organization: Division of Plastic Surgery, University of Massachusetts Medical School, Boston, MA – sequence: 6 givenname: Carl F surname: Schanbacher fullname: Schanbacher, Carl F |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40934120$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNUE1Lw0AUXKRiP_QfiOzRS-p-ZhNvtbRaKFqsnsMmeakryW7dTQr-e4NW6Lu8mWEY3rwxGlhnAaFrSqaUpOpuO9tMyckIwckZGlHJ44grkgxO8BCNQ_gkhLJExBdoKEjKBWVkhIpZCBBCA7bFrsLPAGUNeONMzx_gQx-M89hYPNe-NbXewT1e2QOE1ux0a-wObzpbtJ0HvHS-AKxtibfdr_AKbZ9qnL1E55WuA1wd9wS9Lxdv86do_fK4ms_WUcEYI5GUJUuYUrrguRQkERUvaUIEi3lCFa1iJUUpqjSNleZ5nCey0oIRTVIqq5ICm6Dbv9y9d19df2PWmFBAXWsLrgsZZyLt-0vKeuvN0drlDZTZ3ptG--_s_zHsBxC7Zpk |
| ContentType | Journal Article |
| Copyright | Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. |
| Copyright_xml | – notice: Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/SAP.0000000000004430 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| EISSN | 1536-3708 |
| ExternalDocumentID | 40934120 |
| Genre | Journal Article |
| GroupedDBID | --- .-D .XZ .Z2 01R 0R~ 23M 40H 5GY 5RE 5VS 6J9 71W 7O~ 8L- AAAAV AAAXR AAGIX AAHPQ AAIQE AAMOA AAQKA AARTV AASCR AAUEB AAXQO AAYEP ABASU ABBUW ABDIG ABJNI ABPXF ABVCZ ABXVJ ABZAD ABZZY ACBMB ACDDN ACDOF ACEWG ACGFO ACGFS ACILI ACLDA ACWDW ACWRI ACXJB ACXNZ ACZKN ADGGA ADHPY ADKSD ADSXY AE6 AENEX AFAZI AFBFQ AFDTB AFMBP AFSOK AFUWQ AHOMT AHQNM AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BOYCO BQLVK C45 CGR CS3 CUY CVF DIWNM E.X EBS ECM EEVPB EIF ERAAH EX3 F2K F2L F5P F8P FCALG FL- GNXGY GQDEL H0~ HLJTE HZ~ IKREB IKYAY IN~ JK3 JK8 K8S KD2 KMI L-C L7B LXL LXN LXY N9A NPM N~7 N~B O9- OL1 OLG OLV OLZ OPUJH OVD OVDNE OVIDH OVLEI OVOZU OXXIT P2P Q.- RLZ S4R S4S TEORI TSPGW V2I W3M WOQ WOW X3V X3W YFH ZFV ZRF ZRR 7X8 |
| ID | FETCH-LOGICAL-c2220-55d28277ac3b54084f3d18042638171f6754d4f9967a3b6b85fa420a0915fd1e2 |
| IEDL.DBID | 7X8 |
| ISSN | 1536-3708 |
| IngestDate | Fri Sep 12 17:04:37 EDT 2025 Wed Sep 17 01:57:02 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Keywords | suture retention needle point geometry catastrophic failure reconstruction cartilage puncture force |
| Language | English |
| License | Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c2220-55d28277ac3b54084f3d18042638171f6754d4f9967a3b6b85fa420a0915fd1e2 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| ORCID | 0000-0003-1621-6458 |
| PMID | 40934120 |
| PQID | 3249846512 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_3249846512 pubmed_primary_40934120 |
| PublicationCentury | 2000 |
| PublicationDate | 2025-Oct-01 20251001 |
| PublicationDateYYYYMMDD | 2025-10-01 |
| PublicationDate_xml | – month: 10 year: 2025 text: 2025-Oct-01 day: 01 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Annals of plastic surgery |
| PublicationTitleAlternate | Ann Plast Surg |
| PublicationYear | 2025 |
| SSID | ssj0012846 |
| Score | 2.4368937 |
| Snippet | Suturing cartilage can be challenging, especially when tissue shredding occurs due to repeated needle passes. The study aimed to evaluate two primary outcomes:... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 423 |
| SubjectTerms | Animals Ear Cartilage - surgery Needles Punctures Rabbits Suture Techniques - instrumentation Sutures Tensile Strength |
| Title | Assessment of Needle Point Behavior in Cartilage: Investigating Puncture Force and Suture Retention |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/40934120 https://www.proquest.com/docview/3249846512 |
| Volume | 95 |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LS8NAEF7UevDiA1_1xQpel-ax2U28SCkWDxqCVekt7CMrhZLUVv39ziSp9SII5rCQQ2CZ_Xbmm53NN4Rcad8mVvqGWcEd445bpqTPmQycFoAvZWqdgpd7mabxeJxk7YHbor1WufSJtaO2lcEz8h4E_iTGxt3BzeyNYdcorK62LTTWSScEKoOoluNVFQFcr2j0UgVsJC9e_jqXyN6onzXShe3Deej9TjLrYDPc-e80d8l2SzNpv8HFHlkryn1i-t8ynLRyNIXANS1oVk3gvdVJnNNJSQcIpyk4mmv6Q4ajfKUZBEGsONBhNTcFVaWlo1qThD4i98Y1PiDPw9unwR1rmywwA9TAY1FkIeuSUplQA3uLuQutH2Nmhdp9voOEglvuIC2SKtRCx5FTPPAU8IzIWb8IDslGWZXFMaFx4BtUsxHaoUqY09w4G-kIllt4lusuuVzaLAcQY2VClUX1schXVuuSo8bw-axR28ghAYVIG3gnf_j6lGwF2J-3vmx3RjoOtnBxTjbN5_tkMb-o0QFjmj18AbS1wss |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Assessment+of+Needle+Point+Behavior+in+Cartilage%3A+Investigating+Puncture+Force+and+Suture+Retention&rft.jtitle=Annals+of+plastic+surgery&rft.au=Maloney%2C+McKenzie+E&rft.au=Potter%2C+Christian+T&rft.au=Chun%2C+Benjamin+D&rft.au=Liang%2C+Dean+A&rft.date=2025-10-01&rft.issn=1536-3708&rft.eissn=1536-3708&rft.volume=95&rft.issue=4&rft.spage=423&rft_id=info:doi/10.1097%2FSAP.0000000000004430&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1536-3708&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1536-3708&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1536-3708&client=summon |