Page 77 - Arthroscopic Knot Tying: An Instruction Manual

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Dines Slider (Fig. 40)

FIGURE 40. A-F. Dines Slider.

Like the Snyder knot, the Dines Slider has been referred to as a flip-knot because tension applied to the
loop once the knot has been pushed into place causes the knot to “flip” configuration to a locked form
(16 ,41 ).

 The post limb should be one half the length of the loop limb.
 Start with the loop strand to the right of the post. While staying above the post, cross the loop
over to the left side and then back to the right side of the post. At this point the configuration of
the loop and posts resemble the numeral eight (Fig. 40A ).
 Wrap the loop strand under and around the post heading toward the joint (Fig. 40B ).
 Pass the tail end of the loop behind the post through the loop closest to the joint (Fig. 40C ).
 Next pass the tail of the loop behind the post but in front of the initial loop (Fig. 40D ).
 Tension the knot by gently pulling on both the loop and the post strands simultaneously. Do not
pull too hard on the loop strand or the knot will lock prematurely.
 Advance the knot by pulling on the post limb while pushing the knot with the knot pusher on the
post strand (Fig. 40E ).
 While maintaining tension on the post strand and using the knot pusher to keep the knot in place,
pull the loop strand to lock the knot (Fig. 40F ).

Although the initial description of the knot did not include locking with half hitches, our experience shows
that locking with half hitches improves knot security (unpublished data).