Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: Mar 14, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Published on: January 23, 2026

The Sliding, Interlocking "8-2-Alpha Knot" for Arthroscopic Surgery.

Wiroon Laupattarakasem¹, Pat Laupattarakasem²

¹Orthopaedic Center, Bangkok Hospital Khon Kaen, Khon Kaen, Thailand.

Arthroscopy Techniques

|October 7, 2016

Summary

This study introduces a novel, lockable sliding knot with an alpha-alpha configuration for enhanced surgical knot security. It offers surgeons a reliable and time-saving alternative for secure wound closure.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Using a Markerless Motion Capture System to Identify Preinjury Differences in Functional Assessments.

The journal of knee surgery·2023

Same author

Minimally Invasive Knee Lateral Collateral Ligament Reconstruction Using Partial Biceps Femoris Tendon Autograft.

Arthroscopy techniques·2023

Same author

Hybrid Inside-Out-Outside-In Meniscal Repair Through a Small Skin Incision.

Arthroscopy techniques·2020

Same author

A comparative study comparing area of extension of posterior knee capsule via posteromedial injection: a cadaveric study.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2019

Same author

Prognostic and risk factors in patients with metastatic bone disease of an upper extremity.

Journal of bone oncology·2018

Same author

Direct Visualization of Suspensory Fixation Deployment in Knee Ligament Reconstructions Without Fluoroscopic Imaging.

Orthopedics·2018

Area of Science:

Surgical techniques
Knot security
Medical device innovation

Background:

Traditional surgical knots can compromise security and require additional steps for reliable locking.
The need for efficient and secure knot-tying methods in surgical procedures is paramount.
Existing sliding knots may be prone to premature loosening or flipping during application.

Purpose of the Study:

To describe a novel sliding knot with an ideally lockable, low-profile alpha-alpha configuration.
To present three simple methods for tying this secure surgical knot.
To offer a salvage procedure for unintentional premature knot locking.

Main Methods:

Transformation of a figure-of-8 configuration into an interlocking alpha-alpha knot.
Optional addition of reversed half-hitches for enhanced secondary security.

More Related Videos

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

Published on: January 13, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

Related Experiment Videos

Last Updated: Mar 14, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears

Published on: January 23, 2026

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

Published on: January 13, 2026

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

Demonstration of three surgeon-preferred knot-tying techniques.

Guidance on proper knot deployment to prevent premature flipping.

Main Results:

The described knot achieves strong primary security through its interlocking alpha-alpha configuration.
The knot is designed to be low-profile, minimizing tissue impingement.
Optional secondary security measures can be implemented without significantly increasing surgical time.
A method to prevent premature knot flipping by avoiding over-tensioning the loop limb is detailed.

Conclusions:

The novel sliding knot offers a secure, low-profile, and efficient option for surgical knot tying.
The alpha-alpha configuration provides robust primary knot security.
The presented tying methods and deployment techniques enhance surgical practicality and reliability.