Arthroscopic Knot Tying Techniques

The development of arthroscopic shoulder reconstructive procedures has required the passage of sutures and tying of knots down a cannula. Successful accomplishment of this goal requires an understanding of both suture handling and knot tying techniques, in order to avoid tangles in the cannula, premature locking of knots, and inadequate knot seating. This article presents an overview of arthroscopic knot tying techniques. It explains a variety of knots by diagram, and will provide an understanding of the application and use of slip and nonsliding knots in arthroscopic surgery.