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Updated: Aug 21, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Mattress double anchor footprint repair: a novel, arthroscopic rotator cuff repair technique
Peter J Millett1, Augustus Mazzocca, Carlos A Guanche
1Harvard Shoulder Service/Sports Medicine, Harvard Medical School, Brigham & Women's Hospital, Boston, Massachusetts 02115, USA. pmillett@partners.org
Abstract:
In an effort to increase the immediate strength of a rotator cuff repair and to simulate the standard open reconstruction with its effective suture fixation, we have developed a novel technique for suture anchor reconstruction of the rotator cuff. The technique, termed mattress double anchor (MDA), is simple and adaptable. It makes use of 2 suture anchors that are placed independently and then connected by a suture loop. The technique produces a repair construct that distributes the stress across 2 anchors. The method also restores a large surface area for healing between the rotator cuff and the tuberosity.
