Product Manual

When forming the first throw of either a square
or granny knot, the surgeon is merely wrapping
one suture end (360°) around the other, with
the suture ends exiting in opposite directions.
The surgeon will apply equal and opposing
tension to the suture ends in the same planes.
The direction of the applied tensions will be
determined by the orientation of the suture
loop in relation to that of the surgeon’s hands.
When the surgeon’s hands lie on each side and
parallel to the suture loop, the surgeon will
apply tensions in a direction parallel to his/her
forearms. (Figure 3).
IV. components of a knotted suture loop (cont’d)
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Figure 3. During knot construction, the
surgeon’s hands should be on each side
and parallel to the suture loop