BEGIN

When tying knots, monofilament and multifilament suture have some important differences that you must be aware of. Recall the procedure for creating a square knot. The first throw on a stitch or ligature is pulled to the appropriate intrinsic suture tension, and the second throw is tensioned to lock the suture knot in place. Subsequent throws are made to be sure the knot stays firmly fastened and secure. In this topic, we will look at some additional measures that surgeons can take to fine-tune the intrinsic suture tension when using multifilament and monofilament suture material.

There are several important factors to consider when selecting a manual knot-tying technique. Here are some guidelines to consider when deciding whether to use a one-handed or two-handed tie.

1 / 4

2 / 4

3 / 4

4 / 4