Arthroscopic Rotator Cuff Repair
Double Row
Introduction
Procedure
Patient History
Patient Examination
Imaging
Treatment Options
Nonoperative
Operative
Surgical Anatomy
Surgical Indications
Arthroscopic Rotator Cuff Repair: Double Row
Chapter 22
Andreas B. Imhoff, and Sven Reuter
Rotator cuff tears are common causes of shoulder complaints. Arthroscopic rotator cuff repair is an established treatment modality for rotator cuff tears with successful clinical outcomes. Improved repair techniques have been developed to maintain the integrity between the footprint and the tendon. Arthroscopic double-row and suture bridge repair improves the contact area between tendon and footprint and supports the healing at the repaired rotator cuff insertion.
Two rows of anchors are placed in the humeral head. The medial row is located lateral to the articular surface of the humeral head; a second row is placed more laterally. The cuff tendon is then reattached to the footprint using knot-tying (“suture bridge”) or knotless-anchor fixation.