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Walter J. Sullivan, M.D.
JAMA. 1923;80(3):180. doi:10.1001/jama.1923.26430300002012a.
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The accompanying illustrations present the technic of a knot which I have been using for the last two years. A short piece of catgut can be used in the tying of the knot, and a reef or flat knot can be accomplished by the technic, as illustrated. A strand of catgut or linen from 6 to 7 inches in length can easily be used, and the accompanying results obtained.

As far as I know I have not seen this particular technic illustrated anywhere, and in reply to my inquiries many men who have done quite a bit of technical work state that they have not seen it in print or in any illustrations.

Frequently small pieces of catgut are left from suture material, and these can be utilized to tie the knot. Long strands of catgut, as illustrated here, do not work as well as short strands.

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