Arthroscopic knots for shoulder
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Transcript of Arthroscopic knots for shoulder
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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