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Updated: Jun 3, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Arthroscopic rotator cuff repair using a single-row of triple-loaded suture anchors with a modified suture
1Department of Orthopedic Surgery, Saarland University, Homburg, Saar, Germany. olaf.lorbach@gmx.de
Abstract:
Achieving an adequate restoration of the muscle-tendon-bone unit and the anatomical footprint is essential for a successful outcome in open and arthroscopic rotator cuff repair. The described suture grasping technique using triple-loaded suture anchors might combine high initial fixation strength with good footprint coverage. It describes two mattress' stitches medial at the articular margin of the tendon. Additionally, a third mattress stitch is performed laterally to increase footprint contact and avoid dog-ear deformity. The triple-mattress repair is easy to perform and might be a good alternative in either arthroscopic or open rotator cuff repair.
