TechniquesImproving Medial Footprint Coverage in Double-Row Cuff Repair Using FiberTapeBaba, Mohammed BSc(Med), MBBS, MSpMed, FRACS (Orth)*; Dorrestijn, Oscar MD*; Cadman, Joseph PhD†; Appleyard, Richard PhD†; Cass, Benjamin MBBS, MS, FRACS*; Young, Allan MBBS, PhD, FRACS*Author Information *Sydney Shoulder Research Institute, St Leonards †Australian School of Advanced Medicine, Macquarie University, Sydney, NSW, Australia Institutional review ethics board number: EC00448. Ethics application to undertake research, development testing, and evaluation (RDT&E) using cadavers (reference no: 5201300835). Macquarie University Human Research Ethics Committee (HREC-Medical Sciences). M.B., O.D., B.C., and A.Y. received support from Arthrex and its partner Device Technologies in this study. The remaining authors declare no conflict of interest. Reprints: Mohammed Baba, BSc(Med), MBBS, MSpMed, FRACS (Orth), Sydney Shoulder Research Institute, Suite 201, Level 2, 156 Pacific Highway, St Leonards, NSW 2065, Australia (e-mail: [email protected]). Techniques in Shoulder & Elbow Surgery: September 2015 - Volume 16 - Issue 3 - p 74-78 doi: 10.1097/BTE.0000000000000053 Buy Metrics Abstract FiberTape has been designed to provide increased tissue cut-through resistance to prevent cuff repair failure. We hypothesize that this increased friction results in the FiberTape dragging the tendon laterally and adversely affecting tendon-footprint contact. Our aim was to compare our standard FiberTape repairs with a modified technique. In 5 cadavers, supraspinatus repairs using our standard technique was compared with a modification where the tendon was cinched down. The FiberTape tendon interface on the bursal side was marked and length of redundant FiberTape that was pulled through from the undersurface of the repair measured. The length of redundant FiberTape pulled through from the medial row for each suture after cinching was on average 6.1 mm (range, 3 to 10 mm). We also observed better approximation of cuff to footprint using our modified technique by comparing the undersurface of the repair in 2 specimens. Redundant suture material on the undersurface of medial row equates to poorer tendon to bone contact and the presence of fluid in the healing zone. Optimal contact area and pressures are necessary to maximize tendon healing. Improved tendon to bone contact can be achieved by cinching the medial row when FiberTape is used in a suture bridge technique. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.