Sutures used during arthroscopic surgery are critical for tissue healing and surgical success. The choice of suture color—blue, white, or blue-white enhanced—is not merely aesthetic but has direct clinical implications for safety, visibility, and efficiency.

• White sutures provide a natural appearance, making them ideal for cases where low visibility is desired.

• Blue sutures offer high contrast in synovial fluid, enhancing visual control for surgeons and reducing the risk of stitch misplacement.

• Blue-white (enhanced) sutures combine both advantages, allowing improved guidance in complex repairs where precision is critical.

Research shows that surgeons increasingly prefer multi-color suture systems to reduce surgical errors and shorten operation times. As a result, suture selection directly impacts outcomes in shoulder, knee, and meniscal arthroscopy.