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Completing arthroscopic knots with a broken suture limb
1Ocean County Sports Medicine Center, Toms River, NJ, USA.
Summary
Suture breakage during arthroscopic surgery can compromise knot security. A novel technique uses a grasper to secure broken suture limbs, enabling complete knot tying for shoulder and rotator cuff repairs.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Surgical Techniques
Background:
- Sutures inserted arthroscopically can sustain damage, leading to limb breakage before secure knotting.
- This complication risks suture slippage, compromising the integrity of surgical repairs.
Observation:
- A clinical scenario involving arthroscopic suture breakage during knot tying was observed.
- The need for a reliable method to complete knots with compromised sutures was identified.
Findings:
- A technique is presented utilizing a grasper attached to the broken suture limb.
- The grasper functions as a new post, allowing for the completion of half-hitch knots arthroscopically.
- This method effectively secures the suture despite initial breakage.
Implications:
- This technique offers a practical solution for managing intraoperative suture damage during arthroscopic procedures.
- It enhances the reliability of arthroscopic repairs, particularly in shoulder capsular reconstruction and rotator cuff repair.
- The described method may improve surgical outcomes by preventing repair failure due to knot slippage.