THE LIGATED SUTURE

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Abstract
A perusal of the history of advancement and resection shows not only a succession of new operations but constant variations in and modifications of original operations. And with few exceptions the new operations on muscles and the modifications of existing operations have been based on changes in the arrangement and placement of sutures. The basis of these devices is the common desire for an arrangement of the sutures which will guard against the tendency of the muscle end under tension to retract or pull away from the position in which it was placed—a happening which, as every surgeon will admit, contributes to destabilization of end-results by lessening the corrective effect computed by the operator. It is easy to see how a single suture through the muscle and stump can cut through the interstices between the muscle fibers under tension ; and even the common method of underlooping the muscle, although

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