Product Manual

53
Step 12.
Advance Square Knot (1=1)
to Wound Surface
The second throw is advanced and set against
the first throw by applying tension in a direction
(arrows) perpendicular to that of the wound.
Advancement of the second throw is complete
when the second throw contacts the first throw
to form a square (1=1) knot. Ideally, the surgeon
should be able to advance the two-throw, square
knot to allow meticulous approximation of the
wound edges. Once exact approximation of the
wound edges is accomplished, the surgeon will
construct a knot with a sufficient number of
throws and 3mm cut “ears” so that knot security
is determined by knot breakage, rather than by
slippage.
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