The best replacement for suture is stitch.

The best alternatives to suture are rated as following:
★★★★★  stitch
★★★★  fontanelle
★★★★  tplo
★★★  staple
★★★  synchondrosis
★★★  statlock
★★  vicryl
★★  ethicon
★  monofilament
★  tta
★  blanket stitch
  not to suture
  3-0 vicryl suture
  tightrope

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suture
stitch
fontanelle