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Basic Skills: Knot-Tying 

Basic Skills: Knot-Tying
Chapter:
Basic Skills: Knot-Tying
Author(s):

Nabeel A. Arain

and Daniel J. Scott

DOI:
10.1093/med/9780199764624.003.0010
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date: 10 April 2020

A considerable variation in knot-tying techniques exists among health care practitioners; for example, variation can be found between knots tied by different surgeons and even between knots tied by the same individual on different occasions.7 In the absence of any evidenceof the superiority of one particular technique (i.e., one- vs. two-handed ties), continuing education should focus on the quality of the knot and should perfect the details of the particular technique selected. In addition, speed in tying knots may result in less than perfect placement of the strands if proper technique is not used. Special attention should therefore be given to the security and quality of knots, rather than simply the speed in which the knot is tied. Training programs that emphasize proper technique and consistency can improve not only the quality of the knots but also patient care.6

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