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The Samsung Medical Center (SMC) Knot: Surgical Technique and Demonstration With Teaching Modification
Christopher M Gibbs1, Lucas G Teske1, Benjamin R Graves1
1Department of Orthopedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.
Arthroscopy Techniques
|July 14, 2025
Summary
The Samsung Medical Center (SMC) knot is a secure, low-profile arthroscopic sliding knot. A technique modification aids in teaching this knot by preventing premature locking.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Arthroscopic knot-tying is a critical skill for surgeons.
- Various arthroscopic knots exist, each with unique pros and cons.
Purpose of the Study:
- To describe the technique for creating the Samsung Medical Center (SMC) knot.
- To present a modification of the SMC knot for improved teaching.
Main Methods:
- Detailed description of the SMC knot-tying technique.
- Demonstration of a modified technique to prevent premature knot locking.
Main Results:
- The SMC knot offers good security and a low-profile construct.
- The modification facilitates learning and teaching the SMC knot.
Conclusions:
- The SMC knot is a valuable tool for arthroscopic surgery.
- The modified technique enhances the educational value of the SMC knot.

