Page 65 - Arthroscopic Knot Tying: An Instruction Manual

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Modified Taut Line Hitch (Fig. 34)

FIGURE 34. A-F. Modified taut line hitch.

 The post limb should be approximately half the length of the loop limb.
 Make an overhand half hitch around the post (Fig. 34A ).
 Make a second overhand half hitch proximal (closer to the joint) to the first throw (Fig. 34B ).
 Bring the loop strand distal (farther from the joint) to the two loops and make a third overhand
half hitch (Fig. 34C ).
 Make another overhand half hitch proximal to the third overhand throw but distal to the first
overhand throw (Fig. 34D ).
 Tension the knot by gently pulling on both limbs simultaneously.
 Pull on the post strand while pushing the knot with the knot pusher on the post strand (Fig. 34E ).
 Lock the knot with a series of three alternating half hitches with post switching (Fig. 34F ).
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.