Part of this knot requires tying outside the simulator. This knot has been tied using string for clarity. Stage 1 Anchor the suture around the area you want the knot to lie Pull the threads outside of the simulator to tie the knot using your hands Stage 2 Hold both ends of the suture in your respective palms Wrap the left side over your left thumb With your right hand take the suture around your left thumb and hold between your left index and middle fingers, leaving your right hand free There should be a gap between both threads With the end of the suture between your fingers wrap around the left thread twice working upwards. End the second wrap around in between the two threads and place over the right thread Wrap this end around the right thread ending in between both threads This end should be taken around the right thread ending in between both threads Wrap this end over the right end and pull down and through the hoop Pull the knot tight and slide the knot up and into the simulator Stage 3 This is how the knot should lie inside the simulator You can then pull on each side to make the knot tight and slide no longer Stage 4 With the knot pulled tight it should not move in any direction This article was published on 2024-02-06
