The Zhang Knot: A Locking Slip‐Knot for Arthroscopy

Abstract The Zhang knot is a sliding knot for arthroscopic surgery that is simple to learn, easy to slide, and can be securely locked. This technique, which is similar to a reverse Tennessee knot, is described in detail with step‐by‐step illustrations and a video demonstration. Biomechanically, the Zhang knot provides strong initial holding strength and resists early slippage, allowing the surgeon to maintain desired tension before final locking. Its simple configuration, reproducibility, and minimal profile make it suitable for a variety of arthroscopic procedures. Overall, the Zhang knot represents a reliable and effective addition to the repertoire of arthroscopic knot tying techniques.