Sutures are the most utilized implants in surgical and clinical practice. Suture materials play an essential role in wound management and repair but are also used for tendons, chordae tendineae, or ligament replacement and repair. Ideally, sutures should provide support until the tissue has regained sufficient strength and volume.
When this is achieved, the suture material should permanently remain bioinert or fully degrade to prevent further tissue reactions and facilitate endogenous tissue growth. Type, quality of the treated tissues, and the specific clinical setting dictate the suture material’s desired physical and biological properties. These factors create a multidimensional design spacewhere timedependent variables, such as tissue healing rate, add additional levels of complexity.
Technological advancements in the field of biomaterials have introduced into the market an increasing variety of suture materials that are tailored to specific tissue applications.