Double-Row Suture-Bridging Arthroscopic Rotator Cuff Repair

Rotator cuff repair has undergone a paradigm shift over the past 2 decades in which open approaches have largely been replaced by arthroscopic techniques that restore anatomy in a minimally invasive fashion. The evolution of knotless anchors in particular has allowed the development of suture-bridging double-row repair constructs that maximize footprint restoration and fixation strength. Suture-bridging constructs appear to have substantially improved tendon-healing rates compared with single-row repair. This article highlights the rationale for double-row suture-bridging rotator cuff repair and describes our technique for maximizing restoration of anatomy with these constructs.