O'Keefe Thomas J, Cosman Bard C, Perkins Louis A, Guajardo Isabella, Adams Laura M, Ardill William D, Potenza Bruce M
Department of Surgery, University of California San Francisco, San Francisco, CA, USA.
Department of Surgery, University of California San Diego, San Diego, CA, USA.
Am Surg. 2025 Jul 3:31348251358436. doi: 10.1177/00031348251358436.
A rise in knot-related complications in the 1970s due to the growing number of synthetic sutures available to surgeons led to the experimental study of the security of tied surgical knots. Great progress in the understanding of the effect of knot configuration on knot security has been made since that time, but the findings have had uneven penetration both among and within the various surgical specialties. The emergence of multiple different knot-tying lexicons as well as inconsistencies between the verbal descriptions and illustrations of some of these lexicons presents a challenge to surgeons interested in learning about the subject. This has contributed to the lack of dissemination of knowledge on sliding knots, which in turn almost certainly contributes to the many complications reported in the literature related to knot slippage that can be as devastating as patient mortality. Disentangling the divergent nomenclatures and understanding the reasons for their emergence allow for the critical appraisal of the existing landscape of knot-tying literature.
20世纪70年代，由于外科医生可获得的合成缝线数量不断增加，与打结相关的并发症有所上升，这引发了对结扎手术结安全性的实验研究。自那时以来，在理解结的构型对结安全性的影响方面取得了巨大进展，但这些研究结果在各个外科专业之间以及内部的渗透并不均衡。多种不同的打结术语的出现，以及其中一些术语的文字描述和图示之间的不一致，给有兴趣了解该主题的外科医生带来了挑战。这导致了关于滑动结知识的传播不足，而这反过来几乎肯定导致了文献中报道的许多与结滑动相关的并发症，这些并发症可能像患者死亡一样具有毁灭性。理清不同的命名法并理解它们出现的原因，有助于对现有的打结文献格局进行批判性评估。
