Page 91 - Arthroscopic Knot Tying: An Instruction Manual

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Another study tested the Overhand Throw, the Duncan loop, the Revo knot, the Tennessee Slider, and the
SMC knot (20 ). All knots were tied using braided, nonabsorbable suture. Under cyclic loading, the
Overhand throw displaced significantly greater than the other knots. The Revo knot was shown to have
the highest load to clinical failure, followed by the Tennessee Slider and the SMC knot, which were
statistically similar, the Duncan loop, and then the Overhand Throw, which had the lowest load to clinical
failure (Fig. 47 ). Concerning ultimate failure, the Revo knot and the SMC knot sustained the highest loads.
Again, the Overhand throw was able to tolerate the least load to failure.

FIGURE 47. Load to Clinical Failure (20).

Significance of the internal locking mechanism for loop security enhancement in the arthroscopic
knot. Arthroscopy, 17(8): 850-5, 2001.