Athroscopic rotator cuff repair

The use of the arthroscope to address shoulder pathology is continuously evolving. Many aspects of shoulder arthroscopy are readily accepted and used by orthopedic surgeons, but some procedures can be technically difficult. Arthroscopic rotator cuff repair has traditionally involved the use of cumbersome knot tying techniques, deterring many surgeons from using this technique. Although open and mini-open rotator cuff repair is commonly used with predictable results, there still remains inherent morbidity to any open technique. This article will outline a technique that avoids knot tying and suture management in arthroscopic rotator cuff repair. Although the indications are evolving, arthroscopic rotator cuff repair allows predictable results with excellent pain relief and return to function.