. Manual of operative surgery. Fig. i486. Fig. 1487. R. Fig. 14SS Fig. 1489. the sutures are in place tie the two ends a a^ to the two ends B B* (Fig,1499); and thus obtain lateral approximation of the ends of the tendon. Forfurther security the two ends of suture a a^ may be made to surround bothsegments of tendon, and the same may be done with the suture B b* (Fig. 1500).After healing takes place it becomes impossible to distinguish between a unionobtained by this method and that by end-to-end approximation. If end-to-endapproximation is desired, the sutures a a\b b\ maybe used as relaxation
. Manual of operative surgery. Fig. i486. Fig. 1487. R. Fig. 14SS Fig. 1489. the sutures are in place tie the two ends a a^ to the two ends B B* (Fig,1499); and thus obtain lateral approximation of the ends of the tendon. Forfurther security the two ends of suture a a^ may be made to surround bothsegments of tendon, and the same may be done with the suture B b* (Fig. 1500).After healing takes place it becomes impossible to distinguish between a unionobtained by this method and that by end-to-end approximation. If end-to-endapproximation is desired, the sutures a a\b b\ maybe used as relaxation it is impossible to bring the ends into the desired apposition, owing toshrinkage, loss of substance, or the exigencies of transplantation, and various TENORRHAPHY II95
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