Table 3.

Pearls and Pitfalls

Pearls	Pitfalls
A thorough subacromial bursal debridement is necessary to clearly define the tear and allow for easier placement of suture and tape through the rotator cuff.	Vigilant suture and tape management is necessary throughout the case. If a thorough debridement is not performed, the suture and tape are more prone to become stuck in the soft tissues.
If the self-retrieving suture passer has difficulty passing either the suture or tape through thickened tendon on the anterior or posterior margins of the tendon, a tissue penetrator or suture lasso may need to be used.	After passing the tape, the surgeon must be sure to cut the end to free the 2 limbs that will be used for the bridging construct.
Additional fixation for anterior or posterior tendon flaring (dog-ears) can be managed with a FiberLink cinch loop.	When the surgeon is securing the lateral-row anchors, the sutures must be above the tape limbs to ensure that they are free to slide during the double-pulley step.