Hot Topics and ControversiesDouble-row Rotator Cuff Repair The New Gold StandardNoticewala, Manish S. MD; Ahmad, Christopher S. MDAuthor Information Department of Orthopaedic Surgery, Center for Shoulder, Elbow, and Sports Medicine, Columbia University Medical Center, New York, NY The authors declare no conflict of interest. Reprints: Christopher S. Ahmad, MD, Department of Clinical Orthopaedic Surgery, Columbia University Medical Center, 622 West 168th Street, PH 11th Floor, New York, NY 10032 (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: March 2015 - Volume 16 - Issue 1 - p 6-9 doi: 10.1097/BTE.0000000000000038 Buy Metrics Abstract Arthroscopic rotator cuff repair is an increasingly prevalent procedure. Maximizing postoperative outcomes is directly dependent on the integrity of the surgical fixation of tendon-to-bone. Double-row repair utilizes 2 rows of suture anchor fixation of tendon-to-bone: 1 row medially near the articular margin of the humeral head, and a second row laterally near the greater tuberosity. Among the biomechanical and biophysical benefits of double-row repair (as compared with single-row repair) are: a more anatomic footprint reconstruction, decreased strain and increased stiffness across the repair, smaller gap formation and “dog ear deformities,” and a more encouraging healing environment. Furthermore, the clinical and radiographic benefits of double-row repair are improved functional outcome scores and decreased retear rates. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.