Page 55 - Arthroscopic Knot Tying: An Instruction Manual

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Tennessee Slider (Fig. 28)

FIGURE 28. A-F. Tennessee Slider.

The Tennessee slider (27 ) is a bunt-line hitch, a knot initially used in sailing, with half hitches thrown in
alternate directions on opposite posts.

 The post limb should be approximately half the length of the loop limb.
 Throw the loop over and around the post limb (Fig. 28A ).
 Again, throw the loop strand around the post limb closer to the joint than the preceding loop (Fig.
28B ).
 Pass the tail of the loop strand through the initial loop (Fig. 28C ).
 Tension the knot by gently pulling both suture limbs simultaneously (Fig. 28D ).
 Push the knot into the joint with the knot pusher with the knot pusher on the post strand while
simultaneously pulling on the post strand (Fig. 28E ).
 Lock the knot with a series of three alternating half hitches with post switching (Fig. 28F ).
o Throw an underhand loop on the original post. Tension with the knot pusher.
o Switch posts.
o Throw an overhand loop over the new post. Tension with the knot pusher.
o Switch posts.
o Throw an underhand loop on the original post again. Tension with the knot pusher.

The Tennessee Slider was shown to have superior tensile strength when compared with the Overhand
Throw and the Snyder's knot, similar strength with the SMC knot, and inferior strength when compared
with the Revo knot and the Double-twist knot (20 ,31 ). In addition, the Tennessee Slider was statistically
similar to the Duncan loop, Savoie-Modified Roeder, and Lieurance-Modified Roeder (23 ).