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. 2018 Oct 5;13(10):e0205121. doi: 10.1371/journal.pone.0205121

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© 2018 Yoneda et al

This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Fig 1 — (A1) Pennington modified Kessler (MK) locking loop. (A2) 8-strand with MK. Looped suture was used. This is a continuous piece of suture, where suture coloration is artificially added to aid in following the suture path. The first 4 strands are drawn in black and the others are drawn in blue. (B1) Single hitch loop (adapted from [6]). (B2) 8-strand using half hitch loop. See detail in [6]. (C1) Surface locking Kessler (SLK) loop. The two suture passes required to make a surface locking Kessler loop are shown sequentially as an end view from the transection interface, a side view, and a perspective view. The locking diameter is one eighth of tendon. Transverse suture is securely locked by the longitudinal suture. (C2) The first four passes were performed on the dorsal side. (C3) 8-strand using SLK.