Page 83 - Arthroscopic Knot Tying: An Instruction Manual

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Melzer Knot (Fig. 43)

FIGURE 43. A-F. Melzer knot.

The Melzer knot is yet another modification of the Roeder knot.

 The post limb should be one half the length of the loop limb.
 Throw two consecutive overhand throws around the post (Fig. 43A ).
 Wrap the tail end of the loop behind and around the parallel post and loop strand (Fig. 43B ).
 Again wrap the tail end of the loop behind and around the parallel post and loop strands closer to
the joint than the previous throw (Fig. 43C ).
 Wrap a third loop around the parallel post and loop strand closer to the joint than the previous
throw and pass the tail end of the loop between the parallel post and loop strands between the
second and third loops (Fig. 43D ).
 Throw a loop around only the post strand closer to the joint than any of the previous throws (Fig.
43E ).
 Tension the knot by gently pulling on both the loop and the post strands simultaneously.
 Advance the knot by pulling on the post limb while pushing the knot with the knot pusher on the
post strand. Cinch the knot down with the knot pusher while simultaneously placing tension on
both strands (Fig. 43F ).

When using PDS, the Melzer knot was determined to be the most secure when compared with the Tayside
knot, the Roeder knot, the Cross Square knot, and the Blood knot (33 ).