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Review
. 2023 Jan;42(1):81-94.
doi: 10.1016/j.csm.2022.08.004.

Arthroscopic Rotator Cuff Repair: A Review of Surgical Techniques and Outcomes

Michael R Mancini  1 , Jeffrey L Horinek  2 , Cameron J Phillips  3 , Patrick J Denard  4
Affiliations
Review

Arthroscopic Rotator Cuff Repair: A Review of Surgical Techniques and Outcomes

Michael R Mancini et al. Clin Sports Med. 2023 Jan.

Abstract

Arthroscopic rotator cuff repair (ARCR) has become the gold standard management for rotator cuff repair. Double-row repairs have shown increased biomechanical strength and enhanced anatomic footprint coverage. The advancement of knotless techniques has led to decreased operating room time and reduced overall costs. We prefer a suture-bridging double-row repair for most rotator cuff repairs and incorporate a knotless medial mattress sutures (double-pulley technique) for additional support as needed.

Keywords: Arthroscopic rotator cuff repair; Double-pulley; Double-row; Knotless; Medial mattress; Suture-bridging.

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Conflict of interest statement

Disclosure M.R. Mancini and J.L. Horinek have nothing to disclose. P.J. Denard receives consulting fees, royalties, and grants from Arthrex, Inc.