Loop security as a determinant of tissue fixation security

S. S. Burkhart, M. A. Wirth, M. Simonick, D. Salem, D. Lanctot, K. Athanasiou

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

Secure arthroscopic repair of rotator cuff tears and Bankart lesions requires tight knots (knot security). Equally important, but usually overlooked, is the tightness of the suture loop (loop security). This study compared loop security in knots tied with No. 1 PDS suture using three different methods: (1) hand-tied, (2) single-hole standard knot pusher, and (3) cannulated double-diameter knot pusher. The results of this study show that the double-diameter knot pusher maintained tight suture loops that were equivalent in circumference to hand-tied loops and were significantly tighter than suture loops tied with a standard single-hole knot pusher. This study highlights the fact that loop security is equally important to knot security in tissue fixation.

Original languageEnglish (US)
Pages (from-to)773-776
Number of pages4
JournalArthroscopy
Volume14
Issue number7
DOIs
StatePublished - 1998
Externally publishedYes

Fingerprint

Tissue Fixation
Sutures
Hand

Keywords

  • Arthroscopic knots
  • Knots
  • Rotator cuff repair
  • Suture

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Burkhart, S. S., Wirth, M. A., Simonick, M., Salem, D., Lanctot, D., & Athanasiou, K. (1998). Loop security as a determinant of tissue fixation security. Arthroscopy, 14(7), 773-776. https://doi.org/10.1016/S0749-8063(98)70110-0

Loop security as a determinant of tissue fixation security. / Burkhart, S. S.; Wirth, M. A.; Simonick, M.; Salem, D.; Lanctot, D.; Athanasiou, K.

In: Arthroscopy, Vol. 14, No. 7, 1998, p. 773-776.

Research output: Contribution to journalArticle

Burkhart, SS, Wirth, MA, Simonick, M, Salem, D, Lanctot, D & Athanasiou, K 1998, 'Loop security as a determinant of tissue fixation security', Arthroscopy, vol. 14, no. 7, pp. 773-776. https://doi.org/10.1016/S0749-8063(98)70110-0
Burkhart SS, Wirth MA, Simonick M, Salem D, Lanctot D, Athanasiou K. Loop security as a determinant of tissue fixation security. Arthroscopy. 1998;14(7):773-776. https://doi.org/10.1016/S0749-8063(98)70110-0
Burkhart, S. S. ; Wirth, M. A. ; Simonick, M. ; Salem, D. ; Lanctot, D. ; Athanasiou, K. / Loop security as a determinant of tissue fixation security. In: Arthroscopy. 1998 ; Vol. 14, No. 7. pp. 773-776.
@article{66986554ac3f4f878f04c0f767262c60,
title = "Loop security as a determinant of tissue fixation security",
abstract = "Secure arthroscopic repair of rotator cuff tears and Bankart lesions requires tight knots (knot security). Equally important, but usually overlooked, is the tightness of the suture loop (loop security). This study compared loop security in knots tied with No. 1 PDS suture using three different methods: (1) hand-tied, (2) single-hole standard knot pusher, and (3) cannulated double-diameter knot pusher. The results of this study show that the double-diameter knot pusher maintained tight suture loops that were equivalent in circumference to hand-tied loops and were significantly tighter than suture loops tied with a standard single-hole knot pusher. This study highlights the fact that loop security is equally important to knot security in tissue fixation.",
keywords = "Arthroscopic knots, Knots, Rotator cuff repair, Suture",
author = "Burkhart, {S. S.} and Wirth, {M. A.} and M. Simonick and D. Salem and D. Lanctot and K. Athanasiou",
year = "1998",
doi = "10.1016/S0749-8063(98)70110-0",
language = "English (US)",
volume = "14",
pages = "773--776",
journal = "Arthroscopy - Journal of Arthroscopic and Related Surgery",
issn = "0749-8063",
publisher = "W.B. Saunders Ltd",
number = "7",

}

TY - JOUR

T1 - Loop security as a determinant of tissue fixation security

AU - Burkhart, S. S.

AU - Wirth, M. A.

AU - Simonick, M.

AU - Salem, D.

AU - Lanctot, D.

AU - Athanasiou, K.

PY - 1998

Y1 - 1998

N2 - Secure arthroscopic repair of rotator cuff tears and Bankart lesions requires tight knots (knot security). Equally important, but usually overlooked, is the tightness of the suture loop (loop security). This study compared loop security in knots tied with No. 1 PDS suture using three different methods: (1) hand-tied, (2) single-hole standard knot pusher, and (3) cannulated double-diameter knot pusher. The results of this study show that the double-diameter knot pusher maintained tight suture loops that were equivalent in circumference to hand-tied loops and were significantly tighter than suture loops tied with a standard single-hole knot pusher. This study highlights the fact that loop security is equally important to knot security in tissue fixation.

AB - Secure arthroscopic repair of rotator cuff tears and Bankart lesions requires tight knots (knot security). Equally important, but usually overlooked, is the tightness of the suture loop (loop security). This study compared loop security in knots tied with No. 1 PDS suture using three different methods: (1) hand-tied, (2) single-hole standard knot pusher, and (3) cannulated double-diameter knot pusher. The results of this study show that the double-diameter knot pusher maintained tight suture loops that were equivalent in circumference to hand-tied loops and were significantly tighter than suture loops tied with a standard single-hole knot pusher. This study highlights the fact that loop security is equally important to knot security in tissue fixation.

KW - Arthroscopic knots

KW - Knots

KW - Rotator cuff repair

KW - Suture

UR - http://www.scopus.com/inward/record.url?scp=0031691651&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031691651&partnerID=8YFLogxK

U2 - 10.1016/S0749-8063(98)70110-0

DO - 10.1016/S0749-8063(98)70110-0

M3 - Article

C2 - 9788379

AN - SCOPUS:0031691651

VL - 14

SP - 773

EP - 776

JO - Arthroscopy - Journal of Arthroscopic and Related Surgery

JF - Arthroscopy - Journal of Arthroscopic and Related Surgery

SN - 0749-8063

IS - 7

ER -