Zhao R, Zhang HL, Jia BK, Li LZ, Yang YF, Zhang HL, Song ZJ. Letter to the Editor: Combined oblique and vertical everting running stitch: Redefining the biomechanics of wound closure. World J Orthop 2026; 17(4): 116419 [DOI: 10.5312/wjo.v17.i4.116419]
Corresponding Author of This Article
Zhi-Jing Song, Clinical College of Chinese Medicine, Gansu University of Chinese Medicine, No. 35 Dingxi East Road, Chengguan District, Lanzhou 730000, Gansu Province, China. songzhijing2020@163.com
Research Domain of This Article
Health Care Sciences & Services
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Correspondence
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This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Apr 18, 2026 (publication date) through Apr 16, 2026
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Journal Information of This Article
Publication Name
World Journal of Orthopedics
ISSN
2218-5836
Publisher of This Article
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Zhao R, Zhang HL, Jia BK, Li LZ, Yang YF, Zhang HL, Song ZJ. Letter to the Editor: Combined oblique and vertical everting running stitch: Redefining the biomechanics of wound closure. World J Orthop 2026; 17(4): 116419 [DOI: 10.5312/wjo.v17.i4.116419]
Rui Zhao, Bin-Kui Jia, Lin-Zhu Li, Zhi-Jing Song, Clinical College of Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, China
Hao-Long Zhang, The First Affiliated Hospital of Henan Medical University, Xinxiang 453000, Henan Province, China
Yu-Fei Yang, School of Public Health, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, China
Hao-Ling Zhang, Department of Biomedical Sciences, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Penang 13200, Malaysia
Co-first authors: Rui Zhao and Hao-Long Zhang.
Co-corresponding authors: Hao-Ling Zhang and Zhi-Jing Song.
Author contributions: Zhao R and Zhang HL contributed equally to this manuscript and are co-first authors. Zhao R, Zhang HL, Jia BK, Li LZ, and Yang YF completed the draft of the paper; Zhang HL and Song ZJ revised the article, and they contributed equally to this manuscript and are co-corresponding authors.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Zhi-Jing Song, Clinical College of Chinese Medicine, Gansu University of Chinese Medicine, No. 35 Dingxi East Road, Chengguan District, Lanzhou 730000, Gansu Province, China. songzhijing2020@163.com
Received: November 11, 2025 Revised: December 4, 2025 Accepted: January 14, 2026 Published online: April 18, 2026 Processing time: 150 Days and 16.2 Hours
Core Tip
Core Tip: The combined oblique and vertical everting running suture technique integrates principles of biomechanical force transmission with tissue-level biological responses to promote a dynamic and optimized wound healing process. By redistributing tensile forces along oblique and vertical vectors, this approach effectively reduces localized stress concentration while preserving microvascular perfusion at the wound margins. Such biomechanical optimization supports accurate tissue realignment, enhances healing efficiency, and facilitates favorable scar formation. Collectively, this coordinated strategy provides a mechanistically grounded and clinically adaptable pathway to improve functional and cosmetic outcomes in selected surgical settings.
