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

Michael R Mancini; Jeffrey L Horinek; Cameron J Phillips; Patrick J Denard

doi:10.1016/j.csm.2022.08.004

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

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

Authors

Michael R Mancini¹, Jeffrey L Horinek², Cameron J Phillips³, Patrick J Denard⁴

Affiliations

¹ Department of Orthopaedic Surgery, University of Connecticut Health Center, University of Connecticut Health Musculoskeletal Institute, 263 Farmington Avenue, Farmington, CT 06030, USA. Electronic address: https://twitter.com/MichaelRMancini.
² Salina Ortho, 523 South Santa Fe Avenue, Salina, KS 67401, USA.
³ Oregon Shoulder Institute, 2780 East Barnett Road, Medford, OR 97504, USA.
⁴ Oregon Shoulder Institute, 2780 East Barnett Road, Medford, OR 97504, USA. Electronic address: pjdenard@gmail.com.

PMID: 36375872
DOI: 10.1016/j.csm.2022.08.004

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.

Publication types

Review

MeSH terms

Arthroscopy / methods
Biomechanical Phenomena
Humans
Rotator Cuff Injuries* / surgery
Rotator Cuff* / surgery
Suture Techniques