Arthroscopic rotator cuff repairs now yield a similar footprint as open procedures with several advantages, including reduced tissue trauma, post-operative pain, swelling, and concern about the deltoid attachment. We present a new simple and reproducible technique for arthroscopic rotator cuff repair. Sutures are placed through the full thickness of the rotator cuff. The suture is tied in the following manner: Traction is released, the assistant maintaining the arm in abduction and applying tension on the anterior cuff sutures while the posterior cuff sutures are tied. The procedure is repeated for the anterior cuff suture; and One suture strand from the anterior cuff and one suture strand from the posterior cuff are tied. The procedure is then repeated using the second strand from the anterior cuff and second suture strand from the posterior cuff. This suture and knot tying technique snugs the cuff down to the prepared tuberosity and restores the articular footprint of the cuff. This study retrospectively evaluated the clinical outcome of 170 patients who underwent arthroscopic cuff repair using this technique.Objective
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