Loop and Knot Security of a Novel Arthroscopic Sliding-locking Knot Using High-strength Sutures

Overview

Journal J Orthop

Specialty Orthopedics

Date 2018 Sep 19

PMID 30224854

Citations 4

Authors

Cpt Sally Corey

Karl Wenger

Cpt Peter Johnson

Maj Stephen Parada

Affiliations

Soon will be listed here.

Abstract

Objective: We evaluated the loop and knot security of a novel arthroscopic knot, the Wiese knot, using different types of sutures.

Methods: The Wiese knot was tied using four different brands of braided sutures (Ethibond, Orthocord, FiberWire, and UltraBraid) with and without a series of three reversing half-hitches (RHAPs) and tested for loop and knot security.

Results: Orthocord provided the greatest amount of loop security. FiberWire delivered the highest knot security. UltraBraid had the greatest ultimate force. Three half-hitches increased the maximal load to clinical failure.

Conclusion: The biomechanical characteristics of the Wiese knot are affected by suture material qualities.

Citing Articles

Laparoscopic Surgery: A Systematic Review of Loop and Knot Security, Varying with the Suture and Sequences, Throws, Rotation and Destabilization of Half-Knots or Half-Hitches.

Koninckx P, Ussia A, Wattiez A, Kondo W, Romeo A J Clin Med. 2023; 12(19).

PMID: 37834810 PMC: 10573094. DOI: 10.3390/jcm12196166.

Biomechanics of surgical knot security: a systematic review.

Wong Y, McGrouther D Int J Surg. 2023; 109(3):481-490.

PMID: 36912691 PMC: 10389331. DOI: 10.1097/JS9.0000000000000298.

Mechanical Comparison of High-Strength Tape Suture Versus High-Strength Round Suture.

Ensminger W, McIff T, Vopat B, Mullen S, Schroeppel J Arthrosc Sports Med Rehabil. 2021; 3(5):e1525-e1534.

PMID: 34712990 PMC: 8527324. DOI: 10.1016/j.asmr.2021.07.014.

Knots Tied With High-Tensile Strength Tape Biomechanically Outperform Knots Tied With Round Suture.

Hong C, Chuang H, Hsu K, Kuan F, Chen Y, Yeh M Orthop J Sports Med. 2021; 9(10):23259671211039554.

PMID: 34671688 PMC: 8521428. DOI: 10.1177/23259671211039554.

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