Page 23 - Arthroscopic Knot Tying: An Instruction Manual

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For a knot to remain secure, it is important to maintain tension on the knot as the loops are being secured.
This can be accomplished by maintaining tension in the post limb during the early phase of knot tying. In
addition, when knots are locked with half hitches, past-pointing further tensions the knot. To past-point,
the knot pusher must be passed beyond the knot configuration while applying tension on both limbs (Fig.
11 ).

FIGURE 11. Past pointing.