Novel suturing technique, based on physical principles, achieves a breaking point double that obtained by conventional techniques

Figure 3 Steps to create the proposed “double-diabolo” suture. A: We started with a central stitch that was perpendicular to the surfaces to be joined; B: Then we created an X-shaped stitch to the right; C: We returned with a second central stitch; D: We created another X-shaped stitch, this time to the left; E: We finally returned with a third central stitch to complete the “central column”; F: Then the stitch assembly was knotted with the thread that was centrally located at the outset.