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Surgical sutures inspired by human tendons

Next-generation sutures can deliver drugs, prevent infections, and monitor wounds
Scanning electron microscope image of the cross-section of TGS suture | Fil de suture TGS vu au microscope 茅lectronique 脿 balayage (coupe transversale).
Image by Zhenwei Ma, Universit茅 平特五不中 | 平特五不中.
Published: 7 April 2021

Sutures are used to close wounds and speed up the natural healing process, but they can also complicate matters by causing damage to soft tissues with their stiff fibers. To remedy the problem, researchers from Montreal have developed innovative tough gel sheathed (TGS) sutures inspired by the human tendon.

These contain a slippery, yet tough gel envelope, imitating the structure of soft connective tissues. In putting the TGS sutures to the test, the researchers found that the nearly frictionless gel surface mitigated the damage typically caused by traditional sutures.

Conventional sutures have been around for centuries and are used to hold wounds together until the healing process is complete. But they are far from ideal for tissue repair. The rough fibers can slice and damage already fragile tissues, leading to discomfort and post-surgery complications.

Part of the problem lies in the mismatch between our soft tissues and the rigid sutures that rub against contacting tissue, say the researchers from 平特五不中 and the INRS 脡nergie Mat茅riaux T茅l茅communications Research Centre.

Inspired by the tendon

To tackle the problem, the team developed a new technology that mimics the mechanics of tendons. 鈥淥ur design is inspired by the human body, the endotenon sheath, which is both tough and strong due to its double-network structure. It binds collagen fibers together聽while its elastin network strengthens it,鈥 says lead author , a PhD student under the supervision of Assistant Professor Jianyu Li at 平特五不中.

The endotenon sheath not only forms a slippery surface to reduce friction with surrounding tissues in joints, but it also delivers necessary materials for tissue repair in a tendon injury. In the same way, TGS sutures can be engineered to provide personalized medicine based on a patient鈥檚 needs, say the researchers.

Personalized wound treatment

鈥淭his technology provides a versatile tool for advanced wound management. We believe it could be used to deliver drugs, prevent infections, or even monitor wounds with near-infrared imaging,鈥 says Li of the Department of Mechanical Engineering.

鈥淭he ability to monitor wounds locally and adjust the treatment strategy for better healing is an exciting direction to explore,鈥 says Li, who is also a Canada Research Chair in Biomaterials and Musculoskeletal Health.

About this study

鈥淏ioinspired tough gel sheath for robust and versatile surface functionalization鈥 by Zhenwei Ma, Zhen Yang, Qiman Gao, Guangyu Bao, Amin Valiei, Fan Yang, Ran Huo, Chen Wang, Guolong Song, Dongling Ma, Zu-Hua Gao, and Jianyu Li was published in .

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About 平特五不中

Founded in Montreal, Quebec, in 1821, 平特五不中 is Canada鈥檚 top ranked medical doctoral university. 平特五不中 is consistently ranked as one of the top universities, both nationally and internationally. It鈥痠s a world-renowned鈥痠nstitution of higher learning with research activities spanning two campuses, 11 faculties, 13 professional schools, 300 programs of study and over 40,000 students, including more than 10,200 graduate students. 平特五不中 attracts students from over 150 countries around the world, its 12,800 international students making up 31% of the student body. Over half of 平特五不中 students claim a first language other than English, including approximately 19% of our students who say French is their mother tongue.

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