Table 1.

Pearls and Pitfalls to all-arthroscopy patch augmentation in rotator cuff repair

Pearls	Pitfalls
Perform extensive intraarticular and subacromial releases prior to repair	Leaving residual subacromial bursa limiting vision
Pass all anchor stitches first; Then pass medial independent stitches in the rotator cuff using a retrograde suture shuttle to avoid tangling sutures from the anchors	Tangling sutures during passage; Confirm that tangling has not occurred prior to tying by passing a suture retriever over each limb passed through the graft to confirm a lack of tangles
When retrieving limbs out the lateral portal to pass through the graft, work either anterior to posterior or posterior to anterior making keeping all passed limbs in the anterior or posterior aspect of the cannula respectively to avoid tangling	Utilize a 3.0-mm or thicker graft as a thinner graft tends to tear with suture tying
Push and pull the graft into the subacromial space using a rotator cuff grasper to push the graft as a taco and the limbs of the mulberry knot stitches to pull the graft
Make sure the lateral cannula is at least 10 mm in diameter
Tie the medial graft stitches first, then the anchor horizontal mattress stitches and then perform the bridging to the lateral anchors in that order