By Keith M. Baumgarten MD, Rick W. Wright MD
Featuring greater than 260 photos and easy-to-follow defined directions, this guide is the 1st step by step "how-to" consultant to arthroscopic knot tying. The authors clarify the most important suggestions at the back of arthroscopic knot tying, convey easy methods to carry the suture and use a number of the knot-tying units, and reveal the entire steps essential to tie a biomechanically sound arthroscopic knot.
The publication covers 30 arthroscopic knots which are applicable for repairing accidents of the shoulder, elbow, knee, and ankle. targeted directions for tying each one knot are offered part by way of aspect with transparent pictures depicting every one step.
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Additional info for Arthroscopic Knot Tying: An Instruction Manual
O Throw an underhand loop on the original post again. Tension with the knot pusher. FIGURE 32. A-J. Double-twist knot. FIGURE 32. (Continued) The Double-twist knot was shown to have a significantly higher mean peak to failure compared to the Tennessee Slider and Snyder's knot (31 ). 56 Ratchet Knots Nicky's Knot (Fig. 33) FIGURE 33. A-F. Nicky's knot. Nicky's knot (9 ) is a one-way slipknot. It is a modification of the Taut line hitch (16 ,41 ). The post limb should be approximately half the length of the loop limb.
Laparoscopic Roeder knot. This version of the Roeder knot (33 ) has not been described in the arthroscopic literature. Furthermore, it has not been compared biomechanically to other arthroscopic knots. However, it is a sliding knot that potentially could be used in arthroscopic surgery and has been included in this manual so it can be compared with the other modifications of the Roeder knot that are used in arthroscopic surgery. The post limb should be one half the length of the loop limb. Throw an overhand loop around the post strand (Fig.
O Switch posts. o Throw an overhand loop over the new post. Tension with the knot pusher. o Switch posts. o Throw an underhand loop on the original post again. Tension with the knot pusher. Although statistically similar, when using No. 2 Ethibond, the Savoie-Modified Roeder was shown to resist clinical failure better than the Duncan loop and the Tennessee Slider and worse than the LieuranceModified Roeder and the Revo knot. When using PDS II No. 1 suture, the Savoie-Modified Roeder was superior to the Tennessee Slider, Revo knot, Duncan loop, and Lieurance-Modified Roeder (23 ).