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Arthroscopic Knot Tying

  • Ian K.Y. Lo

Abstract

Routine and reproducible arthroscopic knot tying remains one of the most difficult skills for the novice arthroscopist to master when creating a stable rotator cuff repair construct. Despite recent advances in both suture welding and knotless anchor technology, arthroscopic knot tying still remains the most popular method of fixation when performing suture anchor-based shoulder reconstructions. Unlike open shoulder surgery techniques, arthroscopic knots are generally formed outside the joint with the suture already passed through the anchoring device and tissue to be repaired. Unfortunately, an endless number of combinations of knots (sliding vs. static, simple vs. complex, etc.) can accomplish this task. This further complicates an already confusing topic.

Keywords

Rotator Cuff Rotator Cuff Repair Post Limb Subacromial Space Arthroscopic Rotator Cuff Repair 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Burkhart SS, Wirth MA, Simonich M, Salem D, Lanctot D, Athanasiou K. Knot security in simple sliding knots and its relationship to rotator cuff repair: how secure must the knot be? Arthroscopy 2000;16:202–207.PubMedGoogle Scholar
  2. 2.
    Burkhart SS, Wirth MA, Simonich M, Salem D, Lanctot D, Athanasiou K. Loop security as a determinant of tissue fixation security. Arthroscopy 1998;14:773–776.PubMedCrossRefGoogle Scholar
  3. 3.
    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.PubMedGoogle Scholar
  4. 4.
    Chan KC, Burkhart SS. How to switch posts without rethreading when tying half-hitches. Arthroscopy 1999;15:444–450.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ian K.Y. Lo
    • 1
  1. 1.Department of Orthopaedic SurgeryThe University of CalgaryCalgaryCanada

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