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the cruise ship repair is a four-stranded core repair as with all tendon repairs you start with an axial bite through the center of the tendon substance at least one centimeter from the tendon Edge exiting anteriorly this is followed by an oblique bite Across The Divided tendon from one half across the side of the vision and into the other half of the tendon exiting through the side an axial pass is again taken this time starting proximal to the side of tendon division across the repair site and then to the other half of the divided tendon axially an oblique pass is then made entering through the side of the tendon across the repair site and into the other half of the divided tendon exiting through the side a final path is made actually back into the repair site and the suture ends tied for a monofilament four to six Reef knots is recommended
