Inverse knot: a personal sliding knot for arthrosopic surgery

  • Marco ConcaEmail author
  • Silvio Taschieri
  • Massimo Del Fabbro
  • Riccardo Conca


The development of arthroscopic reconstructive procedures has resulted in the creation of dedicated knots, sliding or not, to be used without skin incision and passed through the cannulas. Most of the recent studies are dedicated to realize and develop slip knots because they are easier and faster to use. The authors report their experience in use of a personal slip knot we called Inverse knot, due to the peculiar characteristic that is closed by the “post” strand.


Inverse knot Sliding knot Arthroscopic surgery Knot tying 



The authors express special thanks to Mr. Orciuolo Giuseppe without whom this knot would not ever been realized.


  1. 1.
    Nottage WM, Lieurance RK (1999) Arthroscopic knot tying techniques. Arthroscopy 15(5):515–521PubMedCrossRefGoogle Scholar
  2. 2.
    Carro LP, Garcia MS (1999) Totally intra-articular arthroscopic knot: push and twist technique. Arthroscopy 15(1):106–109PubMedCrossRefGoogle Scholar
  3. 3.
    Burkhart SS, Wirth MA, Simonick M, Salem D, Lanctot D, Athanasiou K (1998) Loop security as a determinant of tissue fixation security. Arthroscopy 14(7):773–776PubMedCrossRefGoogle Scholar
  4. 4.
    Loutzenheiser TD, Harryman DT II, Young SW, France MP, Sidles JA (1995) Optimizing arthroscopic knots. Arthroscopy 11(2):199–206PubMedCrossRefGoogle Scholar
  5. 5.
    Mishra DK, Cannon WD Jr, Lucas DJ, Belzer JP (1997) Elongation of arthroscopically tied knots. Am J Sports Med 25(1):113–117PubMedGoogle Scholar
  6. 6.
    Chan KC, Burkhart SS, Thiagarajan P, Goh JC (2001) Optimization of stacked half-hitch knots for arthroscopic surgery. Arthroscopy 17(7):752–759PubMedCrossRefGoogle Scholar
  7. 7.
    Loutzenheiser TD, Harryman DT II, Ziegler DW, Yung SW (1998) Optimizing arthroscopic knots using braided or monofilament suture. Arthroscopy 14(1):57–65PubMedCrossRefGoogle Scholar
  8. 8.
    Lee TQ, Matsuura PA, Fogolin RP, Lin AC, Kim D, McMahon PJ (2001) Arthroscopic suture tying: a comparison of knot types and suture materials. Arthroscopy 17(4):348–352PubMedCrossRefGoogle Scholar
  9. 9.
    Kim SH, Ha KI, Kim SH, Kim JS (2001) Significance of the internal locking mechanism for the loop security enhancement in the arthroscopic knot. Arthrosopy 17(8):850–855Google Scholar
  10. 10.
    Huges PJ, Hagan RP, Fisher AC, Holt EM, Frostick SP (2001) The kinematics and kinetics of slipknots for arthroscopic Bankart repair. Am J Sports Med 29(6):738–745Google Scholar
  11. 11.
    DeBeer JF, van Royen K, Boezaart AP (1998) Nickys knot—a new slip knot for arthroscopic surgery. Arthrocopy 14(1):109–110Google Scholar
  12. 12.
    Field MH, Edwards TB, Savoie FH III (2001) Technical note: a “new” arthroscopic sliding knot. Orthop Clin North Am 32(3):525–526PubMedCrossRefGoogle Scholar
  13. 13.
    Rolla PR, Surace MF (2002) The double twist knot: a new arthroscopic sliding knot. Arthroscopy 18(7):815–820PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Marco Conca
    • 1
    Email author
  • Silvio Taschieri
    • 2
  • Massimo Del Fabbro
    • 2
  • Riccardo Conca
    • 1
  1. 1.Orthopedic & Arthroscopic DepartmentClinica San CarloMilanItaly
  2. 2.Galeazzi Institute, Department of OdontologyUniversity of MilanMilanItaly

Personalised recommendations