PULLEY SUTURE Technique :Turning Tension Into Precision 🪡 The Pulley Suture is a smart wound-closure method that works on the principle of mechanical advantage — distributing tension evenly across the wound edges to achieve better approximation with less tissue strangulation. By looping the suture in a pulley-like fashion, this technique: ✔ Reduces wound edge tension ✔ Improves eversion and cosmetic outcome ✔ Minimizes ischemia and tissue trauma ✔ Is ideal for high-tension closures (scalp, back
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Ford Interlocking Suture Pattern (Reverdin Suture - Continuous Lock Suture - Lock Stitch): - A modification of a simple continuous suture. - Secure the suture material with a knot. - A bite is taken from each side of the wound. - Before pulling the suture tight, the material is threaded through the loop leaving an ‘L’ shaped suture. - Repeat until the wound is closed. - These create better skin apposition than a simple continuous suture. - More difficult to remove. Credits: Universität Bern #med
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