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The connected sum 
 of 
-manifolds 
 and 
 is formed by deleting the interiors of 
-Balls 
 in 
 and attaching the resulting punctured Manifolds 
 to each
other by a Homeomorphism 
, so
The connected sum of two Knots is called a Knot Sum.
See also Knot Sum
References
Rolfsen, D.  Knots and Links.  Wilmington, DE: Publish or Perish Press, p. 39, 1976.