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三星医疗中心(SMC)结:手术技术及带教学改良的演示

The Samsung Medical Center (SMC) Knot: Surgical Technique and Demonstration With Teaching Modification.

作者信息

Gibbs Christopher M, Teske Lucas G, Graves Benjamin R

机构信息

Department of Orthopedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.

出版信息

Arthrosc Tech. 2025 Apr 3;14(6):103539. doi: 10.1016/j.eats.2025.103539. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103539
PMID:40656698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255422/
Abstract

Arthroscopic knot-tying is an important skill for any arthroscopist. Many types of knots have been proposed, each with various advantages and disadvantages. The Samsung Medical Center (SMC) knot is an arthroscopic sliding knot featuring a self-locking loop that has been demonstrated to have good knot security and a low-profile construct. This Technical Note and the accompanying video describe the technique for creating the SMC knot; furthermore, a modification to prevent premature locking of the knot to facilitate teaching the knot is demonstrated.

摘要

关节镜打结是每位关节镜医师的一项重要技能。已经提出了多种类型的结,每种都有其各自的优缺点。三星医疗中心(SMC)结是一种关节镜滑动结,其特点是具有自锁环,已被证明具有良好的结安全性和低轮廓结构。本技术说明及随附视频描述了创建SMC结的技术;此外,还展示了一种防止结过早锁定以方便教学的改良方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/1411ce5791db/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/052212aaa6a3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/724afaae4715/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/2763fc28dca7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/506ae7a67c47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/1411ce5791db/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/052212aaa6a3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/724afaae4715/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/2763fc28dca7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/506ae7a67c47/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b17/12255422/1411ce5791db/gr5.jpg

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本文引用的文献

1
Resident Performance on the Fundamentals of Arthroscopic Surgery Training (FAST) Workstation Does Not Predictably Improve With Postgraduate Year.住院医师在关节镜手术基础训练(FAST)工作站上的表现不会随着研究生年级的增长而可预测地提高。
Arthrosc Sports Med Rehabil. 2024 Jan 29;6(1):100866. doi: 10.1016/j.asmr.2023.100866. eCollection 2024 Feb.
2
The effect of residency training on arthroscopic knot tying and knot stability: which knot is best tied by Orthopaedic surgery residents?住院医师培训对关节镜打结及结稳定性的影响:骨科住院医师最擅长打的是哪种结?
J Exp Orthop. 2018 Jun 15;5(1):19. doi: 10.1186/s40634-018-0138-4.
3
Mechanical testing of different knot types using high-performance suture material.
使用高性能缝合材料对不同结类型进行力学测试。
Knee Surg Sports Traumatol Arthrosc. 2015 May;23(5):1351-1358. doi: 10.1007/s00167-013-2711-9. Epub 2013 Oct 13.
4
Loop securities of arthroscopic sliding-knot techniques when the suture loop is not evenly tensioned.关节镜滑动结技术中,当缝线环未均匀拉紧时的环路证券。
Arthroscopy. 2013 Aug;29(8):1380-6. doi: 10.1016/j.arthro.2013.05.013.
5
Biomechanical performance of traditional arthroscopic knots versus slippage-proof knots.传统关节镜结与防滑结的生物力学性能比较。
Arthroscopy. 2013 Jul;29(7):1175-81. doi: 10.1016/j.arthro.2013.04.012.
6
Arthroscopic suture material and knot type: an updated biomechanical analysis.关节镜缝合材料与结的类型:最新生物力学分析
Am J Sports Med. 2009 Aug;37(8):1578-85. doi: 10.1177/0363546509332816. Epub 2009 May 26.
7
Cyclic load and failure behavior of arthroscopic knots and high strength sutures.关节镜结和高强度缝线的循环载荷与失效行为
Arthroscopy. 2009 Feb;25(2):192-9. doi: 10.1016/j.arthro.2008.09.010. Epub 2008 Nov 17.
8
Optimal configuration of arthroscopic sliding knots backed up with multiple half-hitches.采用多个半结加强的关节镜滑动结的最佳构型
Knee Surg Sports Traumatol Arthrosc. 2008 Aug;16(8):787-93. doi: 10.1007/s00167-008-0497-y. Epub 2008 Mar 5.
9
Initial loop and knot security of arthroscopic knots using high-strength sutures.使用高强度缝线的关节镜结的初始环和结的安全性
Arthroscopy. 2007 Aug;23(8):884-8. doi: 10.1016/j.arthro.2007.02.007. Epub 2007 Jun 18.
10
Biomechanical characteristics of 10 arthroscopic knots.10种关节镜下结的生物力学特性
Arthroscopy. 2006 Aug;22(8):827-32. doi: 10.1016/j.arthro.2006.04.094.