A Simple Technique to Restore Tension of a Loose Suture Bridge During Rotator Cuff Repair: Save the Repair

The transosseous equivalent suture bridge technique has been widely used for rotator cuff repair, especially for large tears. During the fixation of the second lateral anchor, the first group of sutures may become loose due to anchor malposition or manual overtensioning of the second group of sutures. To restore the suture’s tension, a spare suture from the second lateral anchor may be passed beneath the loose suture to tighten it with a simple knot. This technique has been shown to be easy and fast to perform and does not require extra material.