The arthroscopic square knot: fiction or fact?

Area of Science:

• Orthopedic Surgery
• Surgical Techniques
• Arthroscopy

Background:

• The square knot is the benchmark for secure knot tying in open surgery.
• Arthroscopic shoulder surgery faces challenges with knot security compared to open procedures.

Purpose of the Study:

• To describe a straightforward technique for tying secure arthroscopic square knots.
• To address the criticism regarding the security of arthroscopic knots.

Main Methods:

• A simple, reproducible technique for arthroscopic square knot tying is detailed.
• The method has been utilized in clinical practice by senior surgeons.

Main Results:

• The described technique allows for the creation of secure arthroscopic square knots.
• Successful clinical outcomes have been reported with this method over several years.

Conclusions:

• This technique offers a reliable solution for achieving secure arthroscopic square knots.
• It enhances the security of knot tying in arthroscopic shoulder procedures, potentially matching open surgery standards.