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So today, we're going to review how to do a one handed, not tie for this. We'll need are not time board. Our practice during or suture o silk ties work best and gloves are optional, but I highly recommend them. It's always best to practice a skill. The same way you're going to have to execute it in the operating room. You can use this tie to secure any, not especially when you may only have one hand free to tie and some attendings will only want you to use a two handed, not tie to tie, sutures in the operating room, but some are okay with you. Moving on to the skill or starting with one handed ties. If that's what you feel most comfortable with to start, we'll put our not tying board in front of us and we'll thread our practice string behind the side that has the penrose strain. I'm going to put the blue side of my string on the right side and the white side of my string on the left side. Since this is a left handed tie for this, not my left hand is going to be my tying hand. My right hand is going to be my post, which means my left hand is going to be doing most of the work. Now, the key to making this not is going to be hooking your finger around the string, which can seem a bit confusing at first. So we'll start off slow to start. I'm going to drape the left side of my string around my left index finger so that the middle part of the string lays across these three fingers here. It will drape over my index finger and the loose end will come up and over my index finger and draped across the palm of my hand like this. Next, I'm going to take the right side of my string and drape it over these three fingers as well. And the two sides of the string should be parallel from here. I'm going to take my middle finger and I'm going to pull the blue under my string with my middle finger under the white string and then over tap. So it looks something like this. Then with my middle finger and ring finger pinched. I'm going to pull the white end of my string through and cross my arms too. Then lay down a square. Not now, this is just one half of are not in order to continue throwing square knots. We'll have to switch to making fours and I'll show you what that looks like to start. You'll pick up the same side of the string with the same hands that you had before and using my index finger. I'm going to bring the white side of my string overtop the blue side to make what almost looks like a number four. If you can see that from here, I'm going to bring my index finger under the blue string and I'm going to hook the side of the white string that's on the opposite side of the blue string. I'm going to take the hooked part of my white string with my index finger and pull it through the middle and then pull on both sides of the string to then bring down my second. Not since we crossed our hands last time, we don't need to cross our hands this time. And to continue, you would move back to laying your string across your left palm and then alternating back and forth between making fours and laying the string across your palm for each. Not so that way each not lay square. And that is how you do a one handed, not tie.