Technique and Outcomes for Knotless Transosseous Rotator Cuff Repair

Rotator cuff tears are a common cause of shoulder disability. Arthroscopic rotator cuff repairs can lead to significant improvement in pain and function, though follow-up imaging studies may still demonstrate a substantial rate of rotator cuff tendon re-tearing. The double-row transosseous-equivalent repair is biomechanically superior to other repair techniques and thereby may improve tendon-to-bone healing. This article describes our preferred technique for knotless rotator cuff repair using a transosseous-equivalent technique.