Table 2.

Pearls and Pitfalls of Rotator Cuff Repair Using Biologic Tuberoplasty

Pearls

Use a traction suture placed into the rotator cuff to aid in reduction when passing each repair suture from the medial-row anchors.

Undersize the graft by 15%-20%.

Mark the medial border of the graft with a sterile marking pen to assist with medial and lateral orientation.

Use FiberLink (white-and-blue) and TigerLink (white-and-black) suture tapes to assist with anterior and posterior orientation.

Pitfalls

Failure to use a PassPort divider or maintain effective suture management can increase difficulty and surgical time.

Graft passage onto the greater tuberosity can be challenging without applying counter tension with the lateral sutures.

Poor suture tensioning or anchor placement may compromise graft fixation and healing.