Surgical Technique for Arthroscopic Rotator Cuff Repair With All-Polyester Patch Augmentation

Rotator cuff repair failure remains a challenging problem, particularly in the setting of poor tendon quality or revision surgery. Patch augmentation has been introduced to reinforce repair constructs and improve healing rates, but many biologic and synthetic materials introduce drawbacks such as inflammatory response, increased bulk, donor-site mobility, or prolonged preparation time. The SuturePatch (Arthrex, Naples, FL) is a recently Food and Drug Administration-approved novel, low-profile, all-polyester suture-based scaffold designed for direct incorporation into the repair construct to provide immediate load-sharing support. Data suggests that the woven all-suture structural makeup provides substantial load-sharing capabilities and resistance to deformation, supporting its use as both a mechanical reinforcement and potential biologic scaffold at the tendon-bone interface. This article describes a reproducible arthroscopic technique for rotator cuff repair with biceps tenodesis and SuturePatch augmentation. This technique offers an approach that provides mechanical reinforcement at time 0 while maintaining a low profile and avoiding the limitations of historic graft-based augmentation.