Table 1.

Technical Pearls and Pitfalls of the Modified Toggle Suture Technique

Technical Pearls	Technical Pitfalls
Hold sutures coming out of the anchor together outside the cannula to maintain suture management and orientation.	If the passed limb is not pulled under the suture arch, another suture passing device must be used to retrieve the suture through the loop.
Deliver passing suture down far side of cannula.	Caution not to over- or undertension the repair
When retrieving the suture, the passed limb must go between the sutures coming out of the anchor and the passed suture (this is the created arch made by the working suture coming up and out of the anchor via the cannula and back down through the labral tissue).	Before tying knots, slide the knot-passer down the post-suture to ensure the post-tying strand will be the suture un-involved in creating the modified toggle stitch. This facilitates keeping the knot stack away from the joint and labral tissue.
Slow down before final tensioning to ensure the passing suture was passed beneath the arch, creating the modified toggle stitch.