[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
June 17, 1911


Author Affiliations

Bismarck, N. D.

JAMA. 1911;LVI(24):1835. doi:10.1001/jama.1911.02560240065036

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor:  —In March, 1909, I presented in Surgery, Gynecology and Obstetrics an original method of tying surgical knots rapidly and accurately. I have used the method continuously since 1901. The "one-finger" principle described by Drs. Castle and Ryfkogel is identical with mine. The method of application differs merely in the fact that they make first the knot I described as the second, while their second half is my first knot. (Practically, it depends entirely on the manner the hand happens to catch the ligature, whether the one knot is made first or last.) For these reasons I respectfully claim priority in devising and publishing this rapid-tying method. I am very much in accord with Drs. Castle and Ryfkogel in their arguments. This method of making knots will do all they assert and more.Slight errors are unquestionably due to the artist and not to the surgeon. The context

First Page Preview View Large
First page PDF preview
First page PDF preview