Product Manual

VIII. two-hand tie techniques — surgeon’s knot square (2=1)
formation of the first, double-wrap throw
54
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).