Loop and knot security of a novel arthroscopic sliding-locking knot using high-strength sutures.

Corey, Cpt Sally; Wenger, Karl; Johnson, Cpt Peter; Parada, Maj Stephen · J Orthop · 2018

biomechanical · Level V

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Abstract

We evaluated the loop and knot security of a novel arthroscopic knot, the Wiese knot, using different types of sutures. The Wiese knot was tied using four different brands of braided sutures (Ethibond, Orthocord, FiberWire, and UltraBraid) with and without a series of three reversing half-hitches (RHAPs) and tested for loop and knot security. Orthocord provided the greatest amount of loop security. FiberWire delivered the highest knot security. UltraBraid had the greatest ultimate force. Three half-hitches increased the maximal load to clinical failure. The biomechanical characteristics of the Wiese knot are affected by suture material qualities.