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Related Experiment Video

Updated: Jan 14, 2026

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Backup Device for Arthroscopic Knot Pusher Using Grasper.

Danaithep Limskul1,2, Kantichat Khoklin3, Pham Viyokom3

  • 1Department of Academic Affairs and Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Arthroscopy Techniques
|October 24, 2025
PubMed
Summary

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In arthroscopic surgery, graspers can be used for secure knot tying when knot pushers are unavailable. This technique provides a safe and effective alternative for maintaining repair integrity.

Area of Science:

  • Orthopedic Surgery
  • Surgical Techniques

Background:

  • Secure knot tying is crucial in arthroscopic surgery for repair integrity.
  • The absence of specialized knot pushers poses a challenge in arthroscopic procedures.

Purpose of the Study:

  • To explore the utility of graspers as an alternative instrument for arthroscopic knot tying.
  • To evaluate the effectiveness and safety of using graspers for knot securement.

Main Methods:

  • Graspers were utilized to perform knot tying in simulated arthroscopic conditions.
  • The technique focused on achieving secure knot fixation without a dedicated knot pusher.

Main Results:

  • Graspers can be effectively manipulated to tie secure surgical knots.

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  • The use of graspers for knot tying did not compromise the integrity of the repair.

    • Conclusions:

    • Graspers offer a safe and feasible alternative to traditional knot pushers in arthroscopic surgery.
    • This technique is valuable when standard instruments are not accessible, ensuring repair quality.