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Superior Capsule Reconstruction for Irreparable Rotator Cuff Tears: A Novel Technique Using Mulberry Knots

Stone, Michael A., MD*; Namdari, Surena, MD; Omid, Reza, MD*

doi: 10.1097/BTO.0000000000000232
Special Technical Article

Irreparable rotator cuff tears are a challenging treatment dilemma for the orthopedic surgeon. Superior capsule reconstruction (SCR) using acellular dermal allograft has grown in popularity, and a number of techniques have recently been described, including mini-open and all-arthroscopic. Although there are no current long-term studies evaluating outcomes using acellular dermal graft, biomechanical studies indicate that clinical application could result in reliable restoration of function. There is currently no standardized technique for graft passage for SCR. The technique described in this article presents a novel technique for the passage of the acellular dermal graft using Mulberry knots for SCR.

*Department of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA

Department of Orthopaedic Surgery, The Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA

S.N.: receives research funding from Arthrex, Zimmer, Depuy-Synthes, and Integra Life Sciences; is a consultant for DJO Surgical and Miami Device Solutions; and receives royalties from DJO Surgical, Miami Device Solutions, and Elsevier. R.O.: receives royalties from Integra Life Sciences and Medacta; is a consultant for Integra Life Sciences and Medacta. M.A.S. declares that there is nothing to disclose.

For reprint requests, or additional information and guidance on the techniques described in the article, please contact Michael A. Stone, MD, at or by mail at Keck School of Medicine of USC, 1520 San Pablo, HCT Suite 2000, Los Angeles, CA 90033. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques.

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