A new, simple, and strong plastic truss bridge, containing a capstan at its middle, provides a device whereby the stress of retention sutures may be distributed more widely over a wound. After the suture is tied, the strand is imprisoned in the capstan, and then its rotation permits application of the desired amount of tension. If later adjustment is necessary, the capstan is lifted to unwind or wind the suture.
Miller JM. A New Suture Retention Bridge. Arch Surg. 1972;104(6):853. doi:10.1001/archsurg.1972.04180060101026