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Arthroscopic knots for shoulder

V. Kubaitis. Arthroscopic knots for shoulder. Arthroscopic knots for shoulder. Knot tying technique Open Arthroscopic Knot Substitute Devices. Arthroscopic knots for shoulder. Arthroscopic knots for shoulder. Arthroscopic knots for shoulder. Sliding part. Locking part. Sliding knots:

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Arthroscopic knots for shoulder

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  1. V. Kubaitis Arthroscopic knots for shoulder

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

  3. Arthroscopic knots for shoulder

  4. Arthroscopic knots for shoulder

  5. Arthroscopic knots for shoulder Sliding part Locking part

  6. Sliding knots: • Duncan loop • Tennessee Slider • Nicky’s knot • Roeder knot • SMC (Samsung medical Center) • Weston knot Arthroscopic knots for shoulder

  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: • Revo knot • 6 -throw Surgeon’s knot or Easy knot

  9. 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 Arthroscopic knots for shoulder

  10. 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 Arthroscopic knots for shoulder

  11. 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 Arthroscopic knots for shoulder

  12. Arthroscopic knots for shoulder

  13. Arthroscopic knots for shoulder

  14. Arthroscopic knots for shoulder

  15. Arthroscopic knots for shoulder

  16. Arthroscopic knots for shoulder

  17. Arthroscopic knots for shoulder

  18. Arthroscopic knots for shoulder

  19. Arthroscopic knots for shoulder

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  21. Arthroscopic knots for shoulder

  22. Thank you! Arthroscopic knots for shoulder

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