A secure slip knot is very important in the field of arthroscopy. The new giant knot, developed by the first author, has the properties of being a one-way self-locking slip knot, which is secured without additional half hitches and can tolerate higher forces to be untied.

Surgical knots are sequences of half-knots (H) or half-hitches (S), defined by their number throws, an opposite similar rotation compared with the previous one, and for whether they sliding (s) blocking (b). Opposite results in (more secure) symmetric knots, asymmetric (a) changing active passive ends has same effect as rotation. Loop security is force to keep tissue together after a first half...

INTRODUCTION: Orthopaedic surgeons have focused on improving the functional and structural outcomes of arthroscopic rotator cuff repair and labral repair through the development of biomechanically superior surgical techniques such as double-row fixation, suture-bridge fixation, and compression double-row fixation. To obtain the maximum benefit from these repair techniques, secure knot tying is ...