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Updated: Feb 5, 2026

A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears
Published on: January 13, 2026
Loop and knot security of a novel arthroscopic sliding-locking knot using high-strength sutures
Cpt Sally Corey1, Karl Wenger2, Cpt Peter Johnson1
1Department of Orthopaedic Surgery, Eisenhower Army Medical Center, 300 East Hospital Road, Fort Gordon, GA, 30905, United States.
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.
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