© 2018

Knots in Orthopedic Surgery

Open and Arthroscopic Techniques

  • Umut Akgun
  • Mustafa Karahan
  • Pietro S. Randelli
  • João Espregueira-Mendes


  • Provides comprehensive information, from the basic science of sutures to their surgical manipulation

  • Teaches the basics of knot biomechanics that can be applied to every knot

  • Provides clear step-by-step guidance on tying the most frequently used knots


Table of contents

  1. Front Matter
    Pages i-xvi
  2. Basic Sciences

    1. Front Matter
      Pages 1-1
    2. Simon Donell
      Pages 3-10
    3. Onur Başçı, Umut Akgun, F. Alan Barber
      Pages 11-20
    4. Emrah Açan, Onur Hapa, F. Alan Barber
      Pages 21-31
    5. Roman Brzóska, Hubert Laprus, Piotr Michniowski, Paweł Ranosz
      Pages 33-45
    6. Ali Öçgüder, Michael Medvecky
      Pages 47-52
  3. Open Knot Tying

    1. Front Matter
      Pages 53-53
    2. Cengiz Yildirim, Fazli Levent Umur, João Espregueira-Mendes
      Pages 55-64
    3. Katja Tecklenburg
      Pages 65-79
    4. Radu Prejbeanu, Mihail-Lazar Mioc
      Pages 81-89
    5. Nuno Sevivas, Guilherme França, Nuno Oliveira, Nuno Ferreira, Manuel Vieira da Silva, Renato Andrade et al.
      Pages 91-96
    6. Baris Kocaoglu, Tekin Kerem Ulku, Ata Can Atalar
      Pages 97-105
  4. Arthroscopic Knot Tying

    1. Front Matter
      Pages 107-107
    2. M. Ugur Ozbaydar, Kerem Bilsel, Mehmet Kapicioglu
      Pages 109-115
    3. Didier Guignand
      Pages 117-125
    4. Urszula Zdanowicz, Michał Drwięga
      Pages 127-142
    5. Selim Ergün, Mahmut Enes Kayaalp, Taner Güneş
      Pages 143-152
    6. Elmar Herbst, Masahito Yoshida, Gregory Gasbarro, Stephenson Ikpe, Volker Musahl
      Pages 153-160
    7. Riccardo Compagnoni, Federico Cabitza, Pietro S. Randelli
      Pages 161-174

About this book


This well-illustrated book presents the state of the art in suture materials and provides clear, step-by-step guidance on how to tie the most frequently used knots. The opening section addresses terminological issues and describes how the biological and mechanical properties of suture materials may impact on healing potential. The basics of knot biomechanics are explained, highlighting the risk of failure of knots and sutures if their capacities are exceeded. Subsequent sections give precise instructions on the tying techniques for the various open and arthroscopic knots, including the square knot, the surgeon’s knot, half hitches, and sliding and non-sliding knots. The special instruments available to facilitate the tying of arthroscopic knots are thoroughly discussed, equipping the surgeon with the knowledge required to ensure optimal handling of the soft tissues and manipulation of sutures in arthroscopic surgery. A literature review on suture materials and arthroscopic knots completes the coverage. This book is published in cooperation with ESSKA. It will be a valuable instruction manual for surgeons in training and will supply more experienced surgeons with an excellent update that will further enhance their practice.


Suture Hitch Sliding knots Biomaterials Surgical skills

Editors and affiliations

  • Umut Akgun
    • 1
  • Mustafa Karahan
    • 2
  • Pietro S. Randelli
    • 3
  • João Espregueira-Mendes
    • 4
  1. 1.Dept. of Orthopedics and TraumatologyAcıbadem Mehmet Ali Aydınlar UniversityAtaşehirTurkey
  2. 2.Dept. of Orthopedics and TraumatologyAcıbadem Mehmet Ali Aydınlar UniversityAtaşehirTurkey
  3. 3.Istituto Ortopedico Gaetano PiniUniversity of MilanMilanItaly
  4. 4.Clínica do DragãoEspregueira-Mendes Sports CentrePortoPortugal

About the editors

Mustafa Karahan, MD, was appointed Professor in the Department of Orthopaedics and Traumatology, Acıbadem University School of Medicine, Istanbul, Turkey in 2012. His other appointments include Consultant, Sports Sciences and Sports Health Research and Application Center, Marmara University, Istanbul; Director, Motor Skills Development Laboratory, Marmara University; and Visiting Professor, Boğaziçi University Biomedical Institute. He is a member of the ESSKA Education Committee and the ISAKOS Education and Scholarship Committee. Dr. Karahan is an editorial board member of the American Journal of Sports Medicine and Knee Surgery, Sports Traumatology, Arthroscopy. He has published more than 100 journal publications and presented over 200 national and international presentations and lectures.

Pietro S. Randelli, MD, is Research Professor in the Department of Orthopaedics, University of Milan (Università degli Studi) and Chief of the 2nd Department of Orthopaedics, Dipartimento di Scienze Biomediche per la Salute, IRCCS Policlinico San Donato, Milan, Italy. Dr. Randelli is an Executive Board Member and Chairman of the Education and Fellowship Committee of ESSKA (2012-2014) and Second Vice-President of the Italian Society
of Knee Surgery, Arthroscopy, and Sports Traumatology, of which he was a founding member. He is also a Past-President of the Magellan Society and in 2005 became an Honorary Member of the American Orthopaedic Society for Sports Medicine. He has surgical experience of more than 4000 procedures and is the author of almost 250 publications.

Bibliographic information

  • Book Title Knots in Orthopedic Surgery
  • Book Subtitle Open and Arthroscopic Techniques
  • Editors Umut Akgun
    Mustafa Karahan
    Pietro S. Randelli
    João Espregueira-Mendes
  • DOI
  • Copyright Information ESSKA 2018
  • Publisher Name Springer, Berlin, Heidelberg
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-662-56107-2
  • Softcover ISBN 978-3-662-58568-9
  • eBook ISBN 978-3-662-56108-9
  • Edition Number 1
  • Number of Pages XVI, 193
  • Number of Illustrations 2 b/w illustrations, 229 illustrations in colour
  • Topics Surgical Orthopedics
    Sports Medicine
  • Buy this book on publisher's site
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