Completing arthroscopic knots with a broken suture limb

Arthroscopically inserted sutures may become damaged during insertion. This can lead to breakage of one limb of the suture before sufficient knots have been delivered to prevent slippage. We present a clinical example and a simple technique to arthroscopically deliver half-hitch knots with a broken suture limb. The technique utilizes a grasper which is attached to the broken suture limb. The grasper acts as a new post over which additional half hitches can be delivered, completing the knot. We have found this technique very useful in shoulder capsular reconstruction and rotator cuff repair.