Failure Modes of Knots and Sutures

Chapter

Abstract

The purpose of a surgical knot is to hold the tissue ends side by side and resist tension until biological repair and healing are achieved. Different types of knots and sutures are used in orthopedic procedures. Moreover, in the recent years, open knot-tying techniques have been replaced by arthroscopic ones.

References

  1. 1.
    Lo IK, Burkhart SS, Chan KC, Athanasiou K. Arthroscopic knots: determining the optimal balance of loop security and knot security. Arthroscopy. 2004;20:489–502.CrossRefPubMedGoogle Scholar
  2. 2.
    Shah MR, Strauss EJ, Kaplan K, Jazrawi L, Rosen J. Initial loop and knot security of arthroscopic knots using high-strength sutures. Arthroscopy. 2007;23:884–8.CrossRefPubMedGoogle Scholar
  3. 3.
    Barber FA, Cawley P, Prudich JF. Suture anchor failure strength—an in vivo study. Arthroscopy. 1993;9:647–52.CrossRefPubMedGoogle Scholar
  4. 4.
    Meyer DC, Fucentese SF, Koller B, Gerber C. Association of osteopenia of the humeral head with full-thickness rotator cuff tears. J Shoulder Elbow Surg. 2004;13:333–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Denard PJ, Burkhart SS. Techniques for managing poor quality tissue and bone during arthroscopic rotator cuff repair. Arthroscopy. 2011;27:1409–21.CrossRefPubMedGoogle Scholar
  6. 6.
    Brady PC, Arrigoni P, Burkhart SS. Evaluation of residual rotator cuff defects after in vivo single- versus double-row rotator cuff repairs. Arthroscopy. 2006;22:1070–5.CrossRefPubMedGoogle Scholar
  7. 7.
    Lo IK, Burkhart SS. Double-row arthroscopic rotator cuff repair: re-establishing the footprint of the rotator cuff. Arthroscopy. 2003;19:1035–42.CrossRefPubMedGoogle Scholar
  8. 8.
    Meyer DC, Fucentese SF, Ruffieux K, Jacob HA, Gerber C. Mechanical testing of absorbable suture anchors. Arthroscopy. 2003;19:188–93.CrossRefPubMedGoogle Scholar
  9. 9.
    Wright PB, Budoff JE, Yeh ML, Kelm ZS, Luo ZP. Strength of damaged suture: an in vitro study. Arthroscopy. 2006;22(12):1270–5.CrossRefPubMedGoogle Scholar
  10. 10.
    Hanypsiak BT, DeLong JM, Simmons L, Lowe W, Burkhart S. Knot strength varies widely among expert arthroscopists. Am J Sports Med. 2014;42(8):1978–84.CrossRefPubMedGoogle Scholar
  11. 11.
    Burkhart SS, Wirth MA, Simonick M, Salem D, Lanctot D, Athanasiou K. Loop security as a determinant of tissue fixation security. Arthroscopy. 1998;14:773–6.CrossRefPubMedGoogle Scholar
  12. 12.
    Burkhart SS, Wirth MA, Simonich M, et al. Knot security in simple sliding knots and its relationship to rotator cuff repair: how secure must the knot be? Arthroscopy. 2000;16:202–7.CrossRefPubMedGoogle Scholar
  13. 13.
    Burkhart SS, Johnson TC, Wirth MA, Athanasiou KA. Cyclic loading of transosseous rotator cuff repairs: tension overload as a possible cause of failure. Arthroscopy. 1997;13:172–6.CrossRefPubMedGoogle Scholar
  14. 14.
    Burkhart SS, Diaz Pagàn JL, Wirth MA, Athanasiou KA. Cyclic loading of anchor-based rotator cuff repairs: confirmation of the tension overload phenomenon and comparison of suture anchor fixation with transosseous fixation. Arthroscopy. 1997;13:720–4.CrossRefPubMedGoogle Scholar
  15. 15.
    Burkhart SS, Fischer SP, Nottage WM, Esch JC, Barber FA, Doctor D, Ferrier J. Tissue fixation security in transosseous rotator cuff repairs: a mechanical comparison of simple versus mattress sutures. Arthroscopy. 1996;12:704–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Barber FA, Herbert MA, Beavis RC. Cyclic load and failure behavior of arthroscopic knots and high strength sutures. Arthroscopy. 2009;25:192–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Chan KC, Burkhart SS, Thiagarajan P, Goh JC. Optimization of stacked half-hitch knots for arthroscopic surgery. Arthroscopy. 2001;17:752–9.CrossRefPubMedGoogle Scholar
  18. 18.
    Jo CH, Lee JH, Kang SB, Lee JH, Han HS, Bae TS, Choi K, Lee C, Lee MC, Yoon KS. Optimal configuration of arthroscopic sliding knots backed up with multiple half-hitches. Knee Surg Sports Traumatol Arthrosc. 2008;16(8):787–93.CrossRefPubMedGoogle Scholar

Copyright information

© ESSKA 2018

Authors and Affiliations

  1. 1.Department of OrthopaedicsTraumatology Yıldırım Beyazıt UniversityAnkaraTurkey
  2. 2.Section Chief of Sports Medicine, Department of Orthopaedics and RehabilitationYale University School of MedicineNew HavenUSA

Personalised recommendations