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The Instrument-Less Instrument Tie
Will Derenne1, Christopher Torkilsen2, Kevin McGurk2
1Medical College of Wisconsin, Milwaukee, Wisconsin.
Background:
The instrument tie is a common introductory wound closure technique but has limitations when a hand tie is needed.
Discussion:
This article contains instructions on how a trainee can use fingers to mimic the motion of an instrument tie when needed if conventional 1- or 2-handed knots have not yet been mastered.
Conclusion:
The mechanics of an instrument tie can be replicated by using the index and middle fingers to mimic the motion typically performed by a needle holder.
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