Table 2.

Surgical Technique Phases

1. Perform tear pattern recognition.

2. Perform releases/slides/margin convergence.

3. Perform footprint preparation.

4. Tie anterior and posterior sutures.

5. Measure tear in coronal and sagittal dimensions.

6. Place untied medial-row sutures on suture guide.

7. Trim graft in semicircular shape.

8. Pass sutures through medial 3 to 5 mm edge of graft.

9. Tie innermost mattress sutures with sliding-locking knot.

10. Advance graft into 8.25-mm clear cannula with blunt trocar.

11. Slide knot onto repair.

12. Tie remaining sutures in load-sharing fashion.

NOTE. Arthroscopic repair of rotator cuff tears using ECM graft requires the standard shoulder arthroscopy instruments plus an arthroscopic 8.25-mm notched cannula.