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Simple Double-Row Rotator Cuff Repair Technique for Large and Massive Cuff Tears

Funk, Lennard BSc, MSc, FRCS(Tr&Orth), FFSEM(UK); Auplish, Sunil FRCS(Tr&Orth)

Techniques in Shoulder and Elbow Surgery: March 2009 - Volume 10 - Issue 1 - p 39-42
doi: 10.1097/BTE.0b013e318197490d

Double-row rotator cuff repair techniques were developed with the aim of reducing retear rates of single-row techniques by improving the cuff-to-footprint contact area. Double-row repair displays more improved biomechanical properties than single-row repair in the laboratory and has gained popularity because of its good reported results and theoretical advantages. However, the techniques can be complex and time-consuming, particularly for large and massive tears. In addition, all involve arthroscopic knot tying. We present a simplified and quick double-row technique, specifically for large and massive tears, that does not require any arthroscopic knot tying and reproduces a broad footprint area. We have performed this technique on 24 large and massive cuff tears with significant improvements in the Constant and Oxford scores and a low retear rate.

From the Wrightington Hospital, Appley Bridge, Wigan, United Kingdom.

Reprints: Lennard Funk, BSc, MSc, FRCS(Tr&Orth), FFSEM(UK), 17 Camellia Close, Bolton, BL1 4NY, United Kingdom (e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.