Technical considerations in knot construction. Part I. Continuous percutaneous and dermal suture closure

Christine C. Annunziata, David B. Drake, Julia A. Woods, Andrew J.L. Gear, George T. Rodeheaver, Richard F. Edlich

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The purpose of this investigation was to determine the security of the square knot tied with one looped end and one free end versus the security of the square knot tied with two free ends. Size 4/0 and size 6/0 monofilament nylon, polypropylene, and Biosyn(TM) sutures were selected for this evaluation. The mechanical performance of these sutures was judged according to knot breakage force and number of throws required to attain security. Knots with one looped end and one free end require more throws to ensure knot security than do knots constructed from two single suture strands of comparable sizes and types of sutures.

Original languageEnglish
Pages (from-to)351-356
Number of pages6
JournalJournal of Emergency Medicine
Volume15
Issue number3
DOIs
StatePublished - May 1997

Keywords

  • Continuous suture
  • Dermal suture
  • Knot security
  • Monofilament sutures
  • Percutaneous suture

ASJC Scopus subject areas

  • Emergency Medicine

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