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Types of ‘locked’ suture used in arthroscopic rotator cuff repair (A–C) Rip stop25: A load-sharing construct characterised by an inverted horizontal mattress suture (i.e. the ‘rip stop’) secured to a lateral row anchor, combined with a simple suture from a medial row anchor that is placed medial to the horizontal limb. (D–F) Mac stitch/The Massive cuff stitch26: Free horizontal suture loop combined with a simple suture from an anchor. Both sutures are independently tied.
