Arthroscopic knots for shoulder V. Kubaitis. Arthroscopic knots for shoulder Knot tying technique 1.Open 2.Arthroscopic 3. Knot Substitute Devices.

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Presentation transcript:

Arthroscopic knots for shoulder V. Kubaitis

Arthroscopic knots for shoulder Knot tying technique 1.Open 2.Arthroscopic 3. Knot Substitute Devices

Arthroscopic knots for shoulder

Sliding part Locking part

Arthroscopic knots for shoulder Sliding knots: 1.Duncan loop 2.Tennessee Slider 3.Nicky’s knot 4. Roeder knot 5. SMC (Samsung medical Center) 6. Weston knot

Arthroscopic knots for shoulder Locking part of the knot – Half hitch A. Under – over B. Over – under

Arthroscopic knots for shoulder Nonsliding knots: 1.Revo knot 2.6 -throw Surgeon’s knot or Easy knot

Arthroscopic knots for shoulder Features of knot related with surgeon 1. Knot in inexperienced user’s hands 2. Easy to tie 3. Fast to tie 4. Slides forward easily 5. Easy to manipulate 6. Premature locking

Arthroscopic knots for shoulder Features of knot related with configuration of the knot itself 1.Lower profile 2. Lower volume 3. Loop circumference 4. Configuration 5. Locks or will not lock at all 6. Backed with half hitches 7. No half hitches needed 8. Type of suture 9. Friction of suture

Arthroscopic knots for shoulder Features of knot in general 1. Effectiveness 2. Predictability 3. Good Braking strength 4. Properly tying 5. Secure 6. Provides good soft tissue apposition and approximation 7. Resists to slide backwards 8. Resistance to loosening 9. Maximal force to failure 10. Maintaining tension postoperatively

Arthroscopic knots for shoulder

Thank you!