Skip to main content
  • 1343 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  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.

    PubMed  CAS  Google Scholar 

  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.

    Article  PubMed  CAS  Google Scholar 

  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.

    PubMed  Google Scholar 

  4. Chan KC, Burkhart SS. How to switch posts without rethreading when tying half-hitches. Arthroscopy 1999;15:444–450.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Lo, I.K. (2008). Arthroscopic Knot Tying. In: Abrams, J.S., Bell, R.H. (eds) Arthroscopic Rotator Cuff Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-39343-8_6

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-39343-8_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-39340-7

  • Online ISBN: 978-0-387-39343-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics