Table 2.

Pearls and Pitfalls

Pearls

1.Use a high-speed burr in reverse mode when abrading the tuberosity to minimize bone resection.

2.Use a measuring device to measure the length and width of the tuberosity.

3.Use a large cannula without a dam to pass graft. If not available, use a 10-cc syringe with the tip cut off.

4.Pass mattress sutures with the repair stitch from each anchor in the edge of the graft.

5.Sequentially tension the pulling stitches to reduce graft into subacromial space.

6.Once graft is secured to medial edge, pull each limb of FiberTape individually to reduce entanglement of the FiberTapes and improved visualization.

Pitfalls

1.Do not use suture passing device to pass sutures through graft. Use a reverse cutting needle instead.

2.Don't undersize the graft when cutting it out of the larger piece of graft.