Integral Suture-Handling Techniques for Arthroscopic Sliding Knots

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Integral Suture-Handling Techniques for Arthroscopic Sliding Knots Wichan Kanchanatawan, M.D., Jatupon Kongtharvonskul, M.D., Ph.D., Gem Dorjiee, M.D., Sunikom Suppauksorn, M.D., Umpire Pornvoranunt, M.D., Pongsakorn Karchana, M.D.  Arthroscopy Techniques  Volume 5, Issue 4, Pages e713-e716 (August 2016) DOI: 10.1016/j.eats.2016.02.034 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 Diagram of knots used in Video 1. Knot A is a sliding knot, consisting of 2 alternating half-hitches (overhand followed by underhand). Knot B, knot C, and knot D are 3 alternating half-hitches: overhand, underhand, and overhand, respectively. Arthroscopy Techniques 2016 5, e713-e716DOI: (10.1016/j.eats.2016.02.034) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 In case of premature locking of the sliding knot (A), simple tension applied on the post limb will easily return the sliding property to the knot (B). Arthroscopy Techniques 2016 5, e713-e716DOI: (10.1016/j.eats.2016.02.034) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 The alternating half-hitch knot should be delivered without any tension on the post limb. A knot pusher pushes in a sideways down direction (tension on non-post limb). Arthroscopy Techniques 2016 5, e713-e716DOI: (10.1016/j.eats.2016.02.034) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 (A, B) Delivering the alternating half-hitches by also alternating the post limb. (C) Tension is kept only on a newly established post or previous non-post limb. Arthroscopy Techniques 2016 5, e713-e716DOI: (10.1016/j.eats.2016.02.034) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions