Peer-reviewedCC BYArthroscopy techniques
A Simple Knot Technique to Simultaneously Prevent Medial‐Row Suture Loosening and Lateral‐Row Anchor Failure in Double‐Row Rotator Cuff Repair
- 1Department of Sports Medicine Panyu Hospital of Traditional Chinese Medicine Panyu Hospital of Guangzhou University of Chinese Medicine, Guangzhou Guangdong China.
Abstract
We describe a simple knot-tying technique to augment fixation during double-row rotator cuff repair. After standard lateral-row anchor placement and suture tensioning, the remaining suture limbs are secured with a surgeon's knot positioned flush against the bone-anchor interface. This knot serves as a mechanical stopper: when the retracted cuff exerts medial traction on the medial-row sutures, the knot blocks suture slippage at the lateral bone surface, generating a counterforce that neutralizes pullout forces and maintains footprint compression. No additional implants are required. This technique is particularly valuable in osteoporotic bone or massive cuff tears, where lateral-row anchor fixation is prone to early failure.
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BibTeX
@article{wang2026simple,
title = {{A Simple Knot Technique to Simultaneously Prevent Medial‐Row Suture Loosening and Lateral‐Row Anchor Failure in Double‐Row Rotator Cuff Repair}},
author = {Weidong Wang and Mu Gao and Yingbiao Wang and Sen Li},
journal = {Arthroscopy techniques},
year = {2026},
month = oct,
doi = {10.1002/atn2.70370},
url = {https://europepmc.org/article/PMC/PMC13718697},
note = {CC BY},
}
RIS
TY - JOUR
TI - A Simple Knot Technique to Simultaneously Prevent Medial‐Row Suture Loosening and Lateral‐Row Anchor Failure in Double‐Row Rotator Cuff Repair
AU - Weidong Wang
AU - Mu Gao
AU - Yingbiao Wang
AU - Sen Li
PY - 2026
DA - 2026/10/29
JO - Arthroscopy techniques
DO - 10.1002/atn2.70370
UR - https://europepmc.org/article/PMC/PMC13718697
AB - We describe a simple knot-tying technique to augment fixation during double-row rotator cuff repair. After standard lateral-row anchor placement and suture tensioning, the remaining suture limbs are secured with a surgeon's knot positioned flush against the bone-anchor interface. This knot serves as a mechanical stopper: when the retracted cuff exerts medial traction on the medial-row sutures, the knot blocks suture slippage at the lateral bone surface, generating a counterforce that neutralizes pullout forces and maintains footprint compression. No additional implants are required. This technique is particularly valuable in osteoporotic bone or massive cuff tears, where lateral-row anchor fixation is prone to early failure.
SN - 2212-6287
ER -