Arthroscopic rotator cuff repair

Although most subacromial decompressions are performed arthroscopically, ro tator cuff repair is still performed using an open or mini-open procedure. Arthroscopic techniques have improved in however, so that rotator cuff repa ir can also be performed arthroscopically. The potential complications of open repair are thus reduced and the superio r functional results of cuff repair in comparison to debridement alone are maintained. The proposed advantages of the arthroscopic method are that it provides access to the glenohumeral joint for inspection and treatment of i ntra-articular lesions. The skin incisions are smaller, detachment of the d eltoid muscle is not necessary,and there is less soft tissue dissection. By inspecting the bursal and articular side of the ruptured cuff, it is possi ble to measure the size of the tear and assess the quality of the tendon an d whether it can be repaired. We present our arthroscopic technique of rotator cuff repair using bioabsor bable suture anchors and demonstrate our 1- to 6-years results with various suture anchors.