A Study of Knot Stability and Handling Quality of Silicone-Treated Surgical Silk

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Abstract
WILLIAM S. Halsted, in 1913,1 wrote: "For a number of years I have had it in mind to call attention to the particular method of employing silk ligatures and sutures which has been practised in the surgical clinic of The Johns Hopkins University since the opening of The Johns Hopkins Hospital in 1889, but have hesitated and also been eager to do so for the same reason, namely, that our school seems to be almost alone in its advocacy of the use of this material." Although "our school" is no longer "alone in its advocacy of the use" of silk, such was the prestige of Halsted and the weight of tradition that the Johns Hopkins Hospital continued to furnish its surgeons with black twisted silk until early in 1960. In that year the reluctance of the manufacturers of sutures to continue furnishing twisted silk and the recognition of the

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