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Double-Row, Transosseous-Equivalent Suture-Bridge Repair for Supraspinatus Tears: Power Up the Healing

Mellano, Chris R. MD; Campbell, Kirk A. MD; Romeo, Anthony A MD; Cole, Brian J. MD, MBA

Techniques in Shoulder & Elbow Surgery: June 2016 - Volume 17 - Issue 2 - p 49–57
doi: 10.1097/BTE.0000000000000064

Arthroscopic rotator cuff repair is one of the most commonly performed surgeries in orthopedics. The primary goal of this procedure is to reduce shoulder pain and restore its function so that patients may return to some of their preinjury activities. Arthroscopic double-row transosseous-equivalent or suture-bridge repair techniques have become increasingly popular over the last decade. This repair technique, which uses 2 rows of suture anchors to recreate a biomechanically favorable healing environment at the anatomic footprint of the rotator cuff, produces a strong fixation construct with improved tendon-to-bone contact and compression over the anatomic footprint. The addition of this technique to one’s armamentarium has the potential to lead to improved patient outcomes after rotator cuff repair. In this review, we will detail some of the technical pearls on how to perform a double-row transosseous-equivalent repair and power up the healing of rotator cuff tears involving the supraspinatus.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL

B.J.C. receives support from Arthrex, Carticept, Regentis, Zimmer, Medipost, National Institutes of Health, DJ Orthopaedics, Athletico, Ossur, Smith & Nephew, and Tornier. A.A.R. receives support from Arthrex, DJO Surgical, Smith & Nephew, and Ossur. The other authors declare no conflict of interest.

Reprints: Kirk A. Campbell, MD, Midwest Orthopedics at Rush University Medical Center, 1611 W. Harrison Suite 300, Chicago, IL 60610 (e-mail:

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