Editorial Commentary: Take What You're Given and Play the Best Shot You Can: The Load-Sharing Rip-Stop for Arthroscopic Repair of Retracted and Poor-Quality Rotator Cuff Tendon Tissue.

Abstract

The surgical management of chronic, large to massive rotator cuff tears is frequently complicated by the presence of retracted, poor-quality tendon tissue, and a number of adjunct techniques have been described to assist the surgeon in mobilizing tissues while minimizing the amount of tension placed on the final repair. The load-sharing rip-stop suture configuration is one such adjunct, and biomechanical data suggest that this construct may be superior to other suture configurations and may be associated with improved rotator cuff repair healing rates in situations that preclude a linked double-row repair.