Arthroscopic hybrid double-row rotator cuff repair

A Beath pin is drilled on the greater tuberosity under arthroscopy using an anterior cruciate ligament guide. The suture anchor is inserted in the lateral aspect of the footprint. Sutures are then passed through the margins of the rotator cuff tear and tied with sliding knot. One strand of tied suture anchor is passed into the bony trough. One passed strand and the other strand are then tied with a non-sliding knot on the greater tuberosity. The strength of cuff fixation does not only rely on the quality of the bone, it restores the footprint contact area of rotator cuff, and reduces the use of suture anchors to the minimum in this method.