A Novel Arthroscopic Medial Knot-Tying Suture-Bridge Repair with Rip-Stop Technique for Rotator Cuff Tears

Rotator cuff tears are common and arthroscopic suture-bridge repair with medial knot tying is widely used due to its superior biomechanical properties and higher healing rates. However, type two retears often caused by suture cutout at the medial site remain a challenge and incorporating a rip-stop configuration in the repair, may improve tendon healing and reduce retear risk. In this video, we'll introduce our arthroscopic medial knot tying suture-bridge repair with rip-stop technique for rotator cuff tears.

Informed consent was obtained from the patient for publication and this study was approved by the institutional review board in our hospital. Our surgical protocol contains the following steps After general analgesia and brachial plexus block, place the patient in the lateral decubitus position. Identify and mark the arthroscopic portals required.