title: The Peruvian fisherman's knot: a new, simple, and versatile self-locking sliding knot.
abstract: BACKGROUND
  In many plastic surgery operations that are undertaken through relatively small incisions resulting in deep-seated operating fields, sliding knots with a self-locking property are preferred by plastic surgeons for 3 reasons: simplicity, reliability, and versatility. We describe a new and versatile sliding knot that can be easily sledded and locked.
  
  
  METHODS
  The technique of knot tying is described in detail as a stepwise approach with photographs. The main advantages of the Peruvian fisherman's knot are compared with other methods and summarized.
  
  
  RESULTS
  In addition to its adjustment-related properties, knot security has been adequate with this knot as evidenced by its clinical performance and the authors' experiences to date.
  
  
  CONCLUSIONS
  The Peruvian fisherman's knot is especially useful while working in deep seated operating fields through a small incision. Tension created during knot tying is adjustable, which makes it an ideal choice for various lifting procedures in plastic surgery.
authors.affiliation: Department of Plastic and Reconstructive Surgery, John Hopkins University, School of Medicine, Baltimore, MD, USA.
authors.forename: Oscar M
authors.initials: OM
authors.lastname: Ramirez
authors.forename: Erdem
authors.initials: E
authors.lastname: Tezel
authors.forename: Burak
authors.initials: B
authors.lastname: Ersoy
mesh_terms: D006801:Humans; D013536:Suture Techniques