Repair of the torn rotator cuff has evolved considerably over the past several decades. Traditionally, open surgical repairs were used to achieve tendon-to-bone fixation. As arthroscopic skill and instrumentation improved, a similar evolution of arthroscopic repair techniques has occurred. In many respects, arthroscopic repair strategies have evolved to replicate and improve upon the biomechanical properties of traditional transosseous rotator cuff repair. This review discusses the rationale responsible for this evolution, current technical strategies, and indications for different types of arthroscopic rotator cuff repair constructs.

Full Article: Double-row Rotator Cuff Repair Strategies