Arthroscopy Techniques Arthroscopic Repair of Rotator Cuff Tears Using Extracellular Matrix Graft  Gregory J. Gilot, M.D., Ahmed K. Attia, M.D., Andres M. Alvarez, M.D., M.Sc.  Arthroscopy Techniques  DOI: 10.1016/j.eats.2014.04.006 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 Arthroscopic evaluation of rotator cuff tear. The tear is measured in the coronal and sagittal dimensions, and untied medial-row sutures are placed on the suture guide. Arthroscopy Techniques DOI: (10.1016/j.eats.2014.04.006) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 (A) Rotator cuff repair is performed with an ECM graft. The sutures are passed through the medial 3 to 5 mm edge of the graft, and the innermost mattress sutures are tied with a sliding-locking knot. (B) The ECM graft is advanced into an 8.25-mm clear cannula with a blunt trocar, and the surgeon slides the knot onto the repair; the remaining sutures are tied in a load-sharing fashion, adding the graft to the rotator cuff tear. Arthroscopy Techniques DOI: (10.1016/j.eats.2014.04.006) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 A suture-bridge technique is used to complete the repair. The final arthroscopic view of a complete massive rotator cuff repair using ECM graft augmentation is shown. The graft is incorporated using a medial-row load-sharing technique. Arthroscopy Techniques DOI: (10.1016/j.eats.2014.04.006) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions