Schematic, step-by-step illustration of arthroscopic hybrid double-row rotator cuff repair
The hooked aimer of a transtibial anterior cruciate ligament (ACL)
guide (Arthrex, Naples, FL) is passed through the lateral anterior
portal through the rotator cuff tear over the junction between the
articular surface and greater tuberosity (Fig. 1 a).
diameter wire passed through the eyelet is inserted inversely into
the previously created bone trough (Fig. 1 b).
A PDS loop is brought out through the lateral anterior portal using
a suture retriever (Fig. 1 c).
While viewing from a lateral portal, a retrograde suture-passing
instrument (Banana Lasso; Arthrex, Naples, FL) penetrates the
rotator cuff to ensure a large bridge for fixation and retrieve a
PDS loop to the modified Neviaser portal (Fig. 1 d).
Sutures are then passed through the margins of the rotator cuff
tear (Fig. 1 e).
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