Transosseous-equivalent rotator cuff repair technique

In order to optimize healing biology at a repaired rotator Cuff footprint, we have developed a transosseous-equivalent rotator cuff repair that can be performed arthroscopically. What the arthroscopically repaired tendon experiences is equivalent to what is experienced with a traditional open suture-bridge technique. This repair maximizes the utility of a single-row repair technique by preserving the suture limbs of the medial single-row and bridging these sutures over the footprint insertion with distal-lateral interference screw suture fixations the medial row uses a mattress suture configuration. The geometry of the construct compresses the Lend(,)D, optimizing tendon-to-tuberosity contact dimensions, while providing strength sufficient to withstand immediate postoperative rehabilitation.