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The Double-Barrel Knot: A New Sliding Knot for Arthroscopic Soft Tissue Fixation Using Single-Pulley and Double-Pulley Techniques

Bhatia, Deepak N. MS(Orth), DNB(Orth)

Techniques in Hand & Upper Extremity Surgery: September 2013 - Volume 17 - Issue 3 - p 128–133
doi: 10.1097/BTH.0b013e318285b4e4
Techniques

The double-barrel knot is a new arthroscopic sliding knot for soft tissue reconstruction and repair procedures in arthroscopic and open shoulder surgery. The double-barrel knot is a modified sliding hitch, and is formed using 2 sutures from a single double-loaded anchor (single-pulley technique) or 2 sutures from 2 adjacent anchors (double-pulley technique). This paper describes the method of double-barrel knot formation, and its variations; in addition, single-pulley and double-pulley techniques for anterior glenoid labral repair are presented.

Department of Orthopaedic Surgery, Seth GS Medical College and King Edward VII Memorial Hospital, Mumbai, India

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Deepak N. Bhatia, MS(Orth), DNB(Orth), Department of Orthopaedic Surgery, Seth GS Medical College and King Edward VII Memorial Hospital, Parel, Mumbai 400012, India. E-mail: thebonesmith@gmail.com.

© 2013 by Lippincott Williams & Wilkins