Publication Name	World Journal of Orthopedics
Manuscript ID	116419
Country	China

Category	Health Care Sciences & Services
Manuscript Type	Letter to the Editor
Article Title	Combined oblique and vertical everting running stitch: Redefining the biomechanics of wound closure
Manuscript Source	Invited Manuscript
All Author List	Rui Zhao, Hao-Long Zhang, Bin-Kui Jia, Lin-Zhu Li, Yu-Fei Yang, Hao-Ling Zhang and Zhi-Jing Song
Funding Agency and Grant Number
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
Key Words	Combined oblique and vertical everting running suturing technique; wound closure; Mechanobiology; Tension modulation; Microcirculation; Regenerative medicine; Scar remodeling
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.
Citation	Zhao R, Zhang HL, Jia BK, Li LZ, Yang YF, Zhang HL, Song ZJ. Combined oblique and vertical everting running stitch: Redefining the biomechanics of wound closure. World J Orthop 2026; In press

Received	2025-11-11 12:02
Peer-Review Started	2025-11-11 12:02
First Decision by Editorial Office Director	2025-11-25 09:21
Return for Revision	2025-11-25 09:21
Revised	2025-12-04 09:36
Publication Fee Transferred
Second Decision by Editor	2026-01-14 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-14 09:08
Articles in Press	2026-01-14 09:08
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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