Dual row rotator cuff repair provides optimal rotator cuff footprint restoration, more durable fixation strength, protects tendon and bone at the repair site interface, and leads to more consistent and dependable healing.

Patient Profile:

  • Shoulder trauma
  • Shoulder impingement associated with everyday wear and tear or sustained athletic activities

The rotator cuff is a tendon linking four muscles in your shoulder. These muscles cover the head of the humerus, working together to lift and rotate the shoulder.  The tendons at the ends of the rotator cuff muscles can become torn, causing pain and restricted arm movement. A torn rotator cuff can occur by shoulder trauma or through everyday "wear and tear" of the tendons.  It is an injury frequently sustained by athletes who perform repeated overhead motions or forceful pulling motions.  Traditionally, treatment of rotator cuff injuries has required an open surgical procedure. More recently, minimally invasive arthroscopic techniques have been used to repair tears of the rotator cuff. However, numerous authors have shown that arthroscopic techniques may not fully restore the anatomic "footprint" of the rotator cuff insertion.

Dual-row suture anchor fixation technique has been shown to fully restore the anatomic "footprint", provide much stronger fixation strength, and aid durability...which can lead to better healing.

"Dual-row" rotator cuff repair allows significantly less motion between tendon and bone at the repair site interface-employing a more rigid construct when compared to single row suture anchor techniques.   Dual-row rotator cuff repair can be viewed as superior to other techniques by providing maximal footprint restoration, more durable fixation, and a more rigid repair which may be conducive to more complete biologic healing.

Watch a video of Dr. Karas performing dual row rotator cuff repair surgery now.