X-Grab: An Arthroscopic Maneuver to Efficiently and Accurately Track the Post for Knot Tying
Authors: Harris WT, Jimenez AE, Owens JS, Delgado-Arellanes I, Lall AC, Domb BG
Journal: Arthroscopy Techniques, May 2022
DOI: 10.1016/j.eats.2022.01.014
Background
Describes the “X-grab” arthroscopic maneuver designed to efficiently mark the post side of a knot during arthroscopic procedures, facilitating knot tying—especially relevant in hip capsular repairs.
Methods
Technique involves marking the post side of the suture in a single step during arthroscopy, eliminating extra intra- or extra-articular maneuvers.
Key Findings
- The X-grab maneuver reduces suture handling and joint instrumentation.
- Enhances accuracy and efficiency in knot placement, particularly useful in tight joint spaces like the hip.
Conclusions
X-grab is a simple, reproducible technique that improves the speed and precision of arthroscopic knot tying.
What Does This Mean for Providers
- Implement the X-grab maneuver to streamline capsular repair and other arthroscopic knot-tying procedures.
- Potentially reduce operative time and minimize iatrogenic damage caused by excessive instrument manipulation.
- Improve reproducibility and reliability of knot security in hip arthroscopy, which may enhance repair durability.