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Updated: Dec 31, 2025

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
A Modified SpeedBridge Technique for Retracted or Delaminated Rotator Cuff Repairs
Benjamin D Lee1, Brian B Gilmer1, Sarah D Lang1
1Mammoth Orthopedic Institute, Mammoth Hospital, Mammoth Lakes, California, U.S.A.
Abstract:
Treatment of full-thickness rotator cuff tears vary in surgical technique dependent on the amount of retraction of the rotator cuff and/or delamination of the soft tissue. The described technique addresses both of those concerns. We present a modification of the SpeedBridge technique used to address retracted or delaminated repairs and effectively expand the indications for use of the double-row knotless technique. In this modification, the reduction is performed by an initial anchor with several stay sutures providing provisional reduction of the tissue in a controlled fashion. This is followed by compression through a standard double-row technique.

