Arthroscopic knots for shoulderV. Kubaitis

Arthroscopic knots for shoulder

Knot tying technique1. Open2. Arthroscopic3. Knot Substitute Devices

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Sliding part

Locking part

Arthroscopic knots for shoulder

Sliding knots:1. Duncan loop2. Tennessee Slider3. Nicky’s knot4. Roeder knot5. SMC (Samsung medical Center)6. Weston knot

Arthroscopic knots for shoulder

Locking part of the knot – Half hitchA. Under – overB. Over – under

Arthroscopic knots for shoulder

Nonsliding knots:1. Revo knot2. 6 -throw Surgeon’s knot or Easy knot

Arthroscopic knots for shoulderFeatures of knot related with surgeon1. Knot in inexperienced user’s hands2. Easy to tie3. Fast to tie4. Slides forward easily 5. Easy to manipulate6. Premature locking

Arthroscopic knots for shoulderFeatures of knot related with configuration of the knot itself1.Lower profile2. Lower volume3. Loop circumference4. Configuration5. Locks or will not lock at all6. Backed with half hitches7. No half hitches needed8. Type of suture9. Friction of suture

Arthroscopic knots for shoulderFeatures of knot in general1. Effectiveness2. Predictability3. Good Braking strength4. Properly tying5. Secure6. Provides good soft tissue apposition and approximation7. Resists to slide backwards8. Resistance to loosening9. Maximal force to failure10. Maintaining tension postoperatively

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

Arthroscopic knots for shoulder

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