1. Arthroscopic knots for shoulder V. Kubaitis

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

3. Arthroscopic knots for shoulder

5. Sliding part Locking part

6. 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

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

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

9. 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

10. 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

11. 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

12. Arthroscopic knots for shoulder

22. Thank you!