TY - JOUR AU - Akram, Muhammad AU - Jafri, Shahzada Hassan AU - Farooqi, Faheem Mubashir AU - Awais, Syed Mohammad AU - Sami, Abdul Lateef AU - Ahmed, Shakeel PY - 2015/08/03 Y2 - 2024/03/29 TI - JAFRI’S KNOT JF - Annals of King Edward Medical University JA - Annals KEMU VL - 20 IS - 4 SE - Articles DO - 10.21649/akemu.v20i4.685 UR - https://annalskemu.org/journal/index.php/annals/article/view/685 SP - 345 AB - <p><strong>Introduction</strong></p> <p>A knot is used to fasten a linear material. Reef knot is basis of various surgical knots. Surgical suture is a medical material which is used to keep body tissue to-gether after injury or during surgery.<sup>1</sup> This material is in the form of thread usually and has a needle attached with it. There are different types of needle threads, according to their shapes and strength.</p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; The history of surgical suture is very old and dates back to 3000BC, in ancient Egypt. There are reports<br /> of presence of suture material in a mummy around 1100BC. Indian sage and physician Sushruta in 500&nbsp;</p> <p>Akram M.<sup>1</sup></p> <p>Senior Registrar, Department of Orthopaedic Surgery</p> <p>Mayo Hospital, Lahore</p> <p>&nbsp;Jafri S.H.<sup>2</sup></p> <p>Professor of Orthopaedic Surgery, CMH, Lahore</p> <p>&nbsp;Farooqi F.M.<sup>3</sup></p> <p>PGR</p> <p>Department of Orthopaedic Surgery, Mayo Hospital, Lahore</p> <p>&nbsp;Awais S.M.<sup>4</sup> (S.I)</p> <p>Chairman Department of Orthopaedic Surgery</p> <p>KEMU / Mayo Hospital, Lahore<strong></strong></p> <p>&nbsp;Sami A.L.<sup>5</sup></p> <p>Associate Professor Department of Orthopaedic Surgery</p> <p>Children Hospital, Lahore<strong></strong></p> <p>&nbsp;Ahmed S.<sup>6</sup></p> <p>Department of Orthopaedic Surgery</p> <p>CMH Hospital, Lahore<strong></strong></p> <p>BC used suture material for wound closure. Hippocra-tes and later Roman <a title="Aulus Cornelius Celsus" href="http://en.wikipedia.org/wiki/Aulus_Cornelius_Celsus">Aulus Cornelius Celsus</a> described various sutures techniques. Roman physician Galen described gut sutures in 2<sup>nd</sup> century, while <a title="Joseph Lister, 1st Baron Lister" href="http://en.wikipedia.org/wiki/Joseph_Lister,_1st_Baron_Lister">Joseph Lis-</a>ter introduced sterile surgical suture in 1860s.<sup>2</sup></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; There are different techniques of tying knots like simple interrupted stiches, continuous stiches, vertical and horizontal mattress stiches, continuous locking sti-ches, barbed stiches, purse sting sutures, figure of 8 stiches, subcuticular stitch etc.<sup>3</sup></p> <p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; We are introducing a new suture technique by the anime of Jafri's knot or stitch.</p> <p>&nbsp;</p> ER -