Nice Knot New Applications in Wrist Arthroscopy

The use of cerclage alone or as a supplement to other forms of internal fixation is common in orthopedic practice. The Nice knot is a doubled stranded knot described by Boileau and colleagues. Its original application was proposed for tuberosity osteosynthesis in proximal humerus fractures. The Nice knot has been used vastly in shoulder surgery and is now widely use in others surgeries. This article aims to describe the utilization of the Nice knot in wrist arthroscopy to repair the triangular fibrocartilage complex or the scapholunate ligament. We modified the techniques described by Mathoulin for these repairs. The Nice knot is a simple knot, easy to use under arthroscopy to repare the scapholunate ligament and the triangular fibrocartilage complex tears.