title: Arthroscopic Double-Row Transosseous Equivalent Rotator Cuff Repair with a Knotless Self-Reinforcing Technique.
abstract: BACKGROUND
  Rotator cuff tears are a significant cause of shoulder morbidity. Surgical techniques for repair have evolved to optimize the biologic and mechanical variables critical to tendon healing. Double-row repairs have demonstrated superior biomechanical advantages to a single-row.
  
  
  METHODS
  The preferred technique for rotator cuff repair of the senior author was reviewed and described in a step by step fashion. The final construct is a knotless double row transosseous equivalent construct.
  
  
  RESULTS
  The described technique includes the advantages of a double-row construct while also offering self reinforcement, decreased risk of suture cut through, decreased risk of medial row overtensioning and tissue strangulation, improved vascularity, the efficiency of a knotless system, and no increased risk for subacromial impingement from the burden of suture knots.
  
  
  CONCLUSIONS
  Arthroscopic knotless double row rotator cuff repair is a safe and effective method to repair rotator cuff tears.
authors.affiliation: The Steadman Philippon Research Institute (W.R.M, J.A.G., P.J.M.) and The Steadman Clinic (W.R.M., P.J.M.), Vail, Colorado, U.S.A.
authors.forename: William R
authors.initials: WR
authors.lastname: Mook
authors.affiliation: The Steadman Philippon Research Institute (W.R.M, J.A.G., P.J.M.) and The Steadman Clinic (W.R.M., P.J.M.), Vail, Colorado, U.S.A.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Greenspoon
authors.affiliation: The Steadman Philippon Research Institute (W.R.M, J.A.G., P.J.M.) and The Steadman Clinic (W.R.M., P.J.M.), Vail, Colorado, U.S.A.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Millett
keywords: Double row; knotless repair; rotator cuff; shoulder transosseous