Page 87 - Arthroscopic Knot Tying: An Instruction Manual

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Khatri Knot (Fig. 45)

FIGURE 45. A-E. Khatri knot.

The Khatri knot has been used as the anchoring knot when running suture to close a laparotomy wound
(18 ). It is another example of a fishing knot, the Improved Clinch knot, which was adopted for use in
surgery (36 ).

 The post limb should be one half the length of the loop limb.
 Wrap the loop limb over and around the post strand proximal (closer to the joint) to distal (farther
from the joint) three consecutive times (Fig. 45A ).
 Pass the tail end of the loop under and through the large loop proximal to the first throw (Fig.
45B ).
 Pass the tail end of the loop strand over and through the large loop created in step 3 (Fig. 45C ).
 Tension the knot by gently pulling on the post and the loop strands simultaneously (Fig. 45D ).
 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. 45E ).