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Article
June 17, 1911

Knots

Author Affiliations

Bismarck, N. D.

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

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Abstract

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

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