Friction Behavior at the Interface Between Surgical Sutures and Tissues

Friction Behavior at the Interface Between Surgical Sutures and Tissues In the process of surgical suturing, friction phenomena at the interface between sutures and tissues can seriously affect the suturing efficiency. However, few studies have assessed the detailed effects of types of sutures or tissues and stitching parameters on the friction behavior. In this paper, the different factors affecting the friction behaviors between sutures and tissues were studied. The unidirectional sliding wear mode in a line-on-flat configuration was selected to simulate the real surgical suturing by using a UMT-II Micro-Tribometer. Artificial skin, porcine muscle and porcine liver were used as experimental samples. Three different surface morphology and structure sutures: multifilament suture (silk), monofilament suture (prolene) and multifilament suture with coating (vicryl), were investigated in this study. The normal load was from 0.1 to 0.5 N, and the unidirectional sliding (suturing) speed was from 5 to 25 mm/s to simulate the suturing operation. Results showed that the friction coefficient at the suture–tissue interface decreased with the increase in normal load and increased with the increase in suturing speed due to the nonlinear viscoelasticity and deformation hysteresis of the soft tissues. The sutures with monofilament structure or coating could effectively reduce the friction coefficient of the suture–tissue interface. Compared to the artificial skin, the porcine tissues had the lower friction coefficients because of 30% blood and 17% interstitial fluid filled in liver and muscle, respectively, which acted as lubricants and reduced the adhesion friction coefficient of the suture–tissue interface. The results can provide guidance for the surgical suture manufacture and the surgical manipulation skills. Tribology Letters Springer Journals

Friction Behavior at the Interface Between Surgical Sutures and Tissues

Loading next page...
Springer US
Copyright © 2017 by Springer Science+Business Media, LLC
Materials Science; Tribology, Corrosion and Coatings; Surfaces and Interfaces, Thin Films; Theoretical and Applied Mechanics; Physical Chemistry; Nanotechnology
Publisher site
See Article on Publisher Site


You’re reading a free preview. Subscribe to read the entire article.

DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches


Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.



billed annually
Start Free Trial

14-day Free Trial