In this study, a
medical-grade poly(l-lactide-co-ε-caprolactone)
(PLC) copolymer with a monomer
ratio of l-lactide (L) to ε-caprolactone (C) of 70:30
mol % for use as an absorbable surgical suture was synthesized via
ring-opening polymerization (ROP) using a novel soluble liquid tin(II) n-butoxide (Sn(OnC4H9)2) as an initiator. In fiber fabrication, the process
included copolymer melt extrusion with a minimal draw followed by
sequential controlled hot-drawing and fixed-annealing steps to obtain
oriented semicrystalline fibers with improved mechanical strength.
For healing enhancement, the fiber was dip-coated with “levofloxacin”
by adding the drug into a solution mixture of acetone, poly(ε-caprolactone)
(PCL), and calcium stearate (CaSt) in the ratio of acetone/PCL/CaSt
= 100:1% w/v:0.1% w/v. The tensile strength of the coated fiber was
found to be increased to ∼400 MPa, which is comparable with
that of commercial polydioxanone (PDS II) of a similar size. Finally,
the efficiency of the drug-coated fiber regarding its controlled drug
release and antimicrobial activity was investigated, and the results
showed that the coated fiber was able to release the drug continuously
for as long as 30 days. For fiber antimicrobial activity, it was found
that a concentration of 1 mg/mL was sufficient to inhibit the growth
of Staphylococcus aureus (MRSA), Escherichia coli O157:H7, and Pseudomonas
aeruginosa, giving a clear inhibition zone range of
20–24 mm for 90 days. Cytotoxicity testing of the drug-coated
fibers showed a %viability of more than 70%, indicating that they
were nontoxic.