Product Manual

72
IX. one-hand tie technique — square knot (1=1)
formation of the first throw
Step 1.
Hold Suture Ends
The suture end exiting from the side of
the wound farther from the surgeon is
grasped between the tips of the distal
phalanges of the left thumb and index
finger (tip-to-tip pinch), while the tips
of the distal phalanges of the right thumb
and index finger grasp the suture end
exiting from the closer side of the wound.
The grasped fingers apply constant
tension to the suture ends. The security
of this tip-to-tip pinch of the suture ends
can be enhanced by grasping the suture
ends between the tips of the long fingers,
ring fingers, small fingers and the palm
of each hand (grip activity).