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Arthroscopic Knot Tying

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Shoulder Arthroscopy

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Abstract

Arthroscopy has evolved from a merely diagnostic procedure to a therapeutic procedure, with most reconstructive procedures being done by arthroscopy. Suturing has been the cornerstone of all reconstructive surgeries to hold the tissues together and without excessive tension to facilitate healing and knot tying has been practiced for centuries. Arthroscopic shoulder reconstructive procedures also employ sutures and knots, and every shoulder surgeon must understand the principle and learn the technique of arthroscopic knots. Though the principles of repair are the same, arthroscopic reconstruction is different from open techniques in that suturing is much more difficult in arthroscopic procedures. The surgeon has to suture tissues at a distance, under the constraint of cannula and in a wet field. This necessitates the use of knot pusher and placement of knot with asymmetric tensioning of suture limbs. Surgeon does not have the benefit of tactile feedback as in tying open knots. Furthermore, the knot is often tightened at an acute angle to suture and not perpendicular to defect, an ideal situation described in open knotting.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Samsung Medical Center, 50 Ilwondong, Kangnamgu, Seoul, 135-710, South Korea

    Jae-Chul Yoo MD, PhD & Young Eun Park MD

Authors
  1. Jae-Chul Yoo MD, PhD
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  2. Young Eun Park MD
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Correspondence to Jae-Chul Yoo MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics, Catholic University of Rome, Rome, Roma, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

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© 2014 Springer-Verlag London

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Yoo, JC., Park, Y.E. (2014). Arthroscopic Knot Tying. In: Milano, G., Grasso, A. (eds) Shoulder Arthroscopy. Springer, London. https://doi.org/10.1007/978-1-4471-5427-3_14

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  • DOI: https://doi.org/10.1007/978-1-4471-5427-3_14

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5426-6

  • Online ISBN: 978-1-4471-5427-3

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