Related Experiment Video
Updated: Mar 13, 2026
Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
Published on: January 23, 2026
Arthroscopic Double-Row Transosseous Equivalent Rotator Cuff Repair with a Knotless Self-Reinforcing Technique
William R Mook1, Joshua A Greenspoon1, Peter J Millett1
1The Steadman Philippon Research Institute (W.R.M, J.A.G., P.J.M.) and The Steadman Clinic (W.R.M., P.J.M.), Vail, Colorado, U.S.A.
Background:
Rotator cuff tears are a significant cause of shoulder morbidity. Surgical techniques for repair have evolved to optimize the biologic and mechanical variables critical to tendon healing. Double-row repairs have demonstrated superior biomechanical advantages to a single-row.
Methods:
The preferred technique for rotator cuff repair of the senior author was reviewed and described in a step by step fashion. The final construct is a knotless double row transosseous equivalent construct.
Results:
The described technique includes the advantages of a double-row construct while also offering self reinforcement, decreased risk of suture cut through, decreased risk of medial row overtensioning and tissue strangulation, improved vascularity, the efficiency of a knotless system, and no increased risk for subacromial impingement from the burden of suture knots.
Conclusion:
Arthroscopic knotless double row rotator cuff repair is a safe and effective method to repair rotator cuff tears.
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