Arthroscopic One-to-One Anchor, Double-Row Rotator Cuff Repair

Rotator cuff repair aims to achieve stable tendon-to-bone healing while restoring the anatomic footprint and minimizing tension. Although single-row and double-row constructs are widely used, double-row repairs have showed biomechanical advantages, including broader footprint coverage, improved force distribution, and reduced gap formation. These benefits have translated to lower retear rates and improved functional outcomes in certain populations. This technique describes an arthroscopic one-to-one anchor, double-row construct designed for small, crescent-shaped tears. By providing multiple points of fixation with fewer implants, the construct distributes load evenly across the repair and maximizes footprint restoration.