SP Knot: A New Arthroscopic Sliding Flip Knot With A Lag Bight Yoon Kang-Sup; Lee Ji-Ho; Kang Seung-Baik; Lee Jae-Hyup; Lee Myung-Chul; Jo Hyun-Chul;
We describe a secure and easy-to-tie knot with a lag bight, the SP knot. An optimal sliding knot is required to be a low-profile, easy to throw, slide well, and provide a good initial security. The SP knot easily slides and sets while avoiding premature locking during sliding. While maintaining tension on the post limb with a knot pusher, pulling the loop limb makes it to flip and distort post limb, resulting in creation of a snug knot on the exact location with desired tension. The SP knot has one knot configuration before pulling the loop limb, but it converts to two knots after pulling the loop limb, one half-hitch and one 'clove hitch', which could provide enough loop security before any additional half-hitches. The configuration of the completed SP knot is formed lying along the loop of the knot, rather than stacking up, which enables a very low profile. The SP knot has various characteristics of the optimal arthroscopic slip knot and may be a useful tool for successful arthroscopic surgery.