Page 12 - Arthroscopic Knot Tying: An Instruction Manual

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How to Use the Double-Diameter Knot Pusher (Fig. 5)

FIGURE 5. A-F. Tying knots with the Arthrex 6th finger.

 Throw a half hitch around the post strand and then thread the post through the inner diameter of the
knot pusher (Fig. 5A ).
 Advance the hitch by pushing it down with the inner sleeve of the knot pusher (Fig. 5B ).
 While holding the first hitch down with the inner diameter of the knot pusher, throw a half hitch
around the inner diameter of the knot pusher (Fig. 5C ).
 Advance the hitch by pushing it down with the outer diameter of the knot pusher (Figs. 5D, E ).
 Once the two hitches have been seated, tension can be released from the inner diameter of the knot
pusher and further hitches can be placed to reinforce the knot (Fig. 5F ).