Cable Graft: Simple Superior Capsule Reconstruction Technique for Irreparable Rotator Cuff Tear Using a Teflon Patch
Related Experiment Video
Updated: Dec 22, 2025

Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
Published on: June 6, 2025
Kenji Okamura1, Takeshi Makihara2
1Hitsujigaoka Hospital, Sapporo, Hokkaido.
Abstract:
We describe a simple superior capsule reconstruction technique for irreparable rotator cuff tear using a Teflon patch. In this technique, a triple-folded Teflon patch, suture tape, and a strong suture penetrating through the graft are fixed to the glenoid and greater tuberosity using a suture anchor. This allows for reconstruction of the superior capsule while simultaneously playing a role as a spacer. This procedure's greatest advantage is its simplicity; it is easy to perform, has a short operative time, and avoids the need to collect autologous tissue. More time is saved, as suturing and tying are not required. We believe our study could aid orthopaedic surgeons in clinical decision-making when encountering irreparable rotator cuff repairs.

