Abstract

Introduction A knot is used to fasten a linear material. Reef knot is basis of various surgical knots. Surgical suture is a medical material which is used to keep body tissue to-gether after injury or during surgery. 1 This material is in the form of thread usually and has a needle attached with it. There are different types of needle threads, according to their shapes and strength. The history of surgical suture is very old and dates back to 3000BC, in ancient Egypt. There are reports of presence of suture material in a mummy around 1100BC. Indian sage and physician Sushruta in 500 Akram M. 1 Senior Registrar, Department of Orthopaedic Surgery Mayo Hospital, Lahore Jafri S.H. 2 Professor of Orthopaedic Surgery, CMH, Lahore Farooqi F.M. 3 PGR Department of Orthopaedic Surgery, Mayo Hospital, Lahore Awais S.M. 4 (S.I) Chairman Department of Orthopaedic Surgery KEMU / Mayo Hospital, Lahore Sami A.L. 5 Associate Professor Department of Orthopaedic Surgery Children Hospital, Lahore Ahmed S. 6 Department of Orthopaedic Surgery CMH Hospital, Lahore BC used suture material for wound closure. Hippocra-tes and later Roman Aulus Cornelius Celsus described various sutures techniques. Roman physician Galen described gut sutures in 2 nd century, while Joseph Lis- ter introduced sterile surgical suture in 1860s. 2 There are different techniques of tying knots like simple interrupted stiches, continuous stiches, vertical and horizontal mattress stiches, continuous locking sti-ches, barbed stiches, purse sting sutures, figure of 8 stiches, subcuticular stitch etc. 3 We are introducing a new suture technique by the anime of Jafri's knot or stitch.

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