Large Arthroscopic Double Row Rotator Cuff Repair

This is an educational video that demonstrates an arthroscopic repair of a large full thickness supraspinatus rotator cuff tear using a double row transosseous equivalent technique. Achieving a biomechanically stable construct is critical to biologic healing. The ideal repair construct must optimize suture-to-bone fixation, suture-to-tendon fixation, abrasion resistance of suture, suture strength, knot security, loop security, and restoration of the anatomic rotator cuff footprint (the surface area of bone to which the cuff tendons attach). The arthroscopy seen in the movie was performed by Chad Smalley, MD.