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Updated: Aug 9, 2026
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Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Arthroscopic transosseous suture anchor technique for rotator cuff repairs
Nikola Cicak1, Hrvoje Klobucar, Goran Bicanic
1Department of Orthopedic Surgery, School of Medicine, the University of Zagreb, Zagreb, Croatia. nikcicak@yahoo.com
Summary
This study details a surgical technique for rotator cuff repair using transosseous tunnels and anchors. The method facilitates secure fixation of the supraspinatus tendon for improved shoulder joint stability.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomedical Engineering
Background:
- Rotator cuff tears are common shoulder injuries.
- Effective surgical repair is crucial for restoring shoulder function.
- Transosseous tunnels offer a biomechanically sound approach for tendon fixation.
Purpose of the Study:
- To describe a novel surgical technique for rotator cuff repair.
- To detail the placement of anchors and sutures for supraspinatus tendon fixation.
- To provide a reproducible method for orthopedic surgeons.
Main Methods:
- A skin incision is made distal to the lateral portal.
- A transosseous tunnel is created through the greater tuberosity.
- Anchors are placed on the humeral head footprint, with sutures passed through the tunnel and supraspinatus tendon.
- Sutures are tied using a sliding Delimar knot.
Main Results:
- The described technique allows for secure fixation of the supraspinatus tendon.
- The transosseous tunnel provides a stable construct for anchor placement.
- The use of a suture leader facilitates tendon manipulation.
Conclusions:
- This surgical technique provides a reliable method for rotator cuff repair.
- The transosseous tunnel approach enhances biomechanical stability.
- Further studies should evaluate the long-term clinical outcomes of this repair method.
