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April 23, 1910


Author Affiliations

Assistant in the Laboratory of Operative Surgery and Surgical Anatomy of the Chicago Policlinic CHICAGO

JAMA. 1910;LIV(17):1371. doi:10.1001/jama.1910.92550430001001k

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A reliable tendon coaptation by suture is assured by the following technic:

From within the tendon sheath bring a severed end of the tendon into the wound, with the least possible injury to the tendon. This is done by grasping its side with a small toothed forceps by which it is held until one of the side sutures is applied, which will then be used as a tractor until the opposite side suture is placed. These side sutures are placed about one-quarter of an inch from the stump, and grasp enough tissue to assure a secure hold for the intertendon sutures. They are firmly tied and left long, as shown in Figure 1.

Should one of the ends be so retracted as to be out of reach, which is often the case with the proximal end, place a probe in the sheath up to the tendon's stump Cut the skin

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