Alan M. Hirahara, MD, FRCSC
Orthopaedic SurgeonSpecialist in Sports Medicine

Arthroscopic Knotless Rotator Cuff Repair With Decellularized Dermal Allograft Augmentation: The “Canopy” Technique

Hirahara AM, Andersen WJ, Dooney T
Arthroscopy Techniques
DOI: https://doi.org/10.1016/j.eats.2020.08.003

October 20th 2020

Abstract: Repairability and clinical outcomes of full-thickness rotator cuff tears rely on tendon mobility, tissue quality,
and subsequent tension on a repair. While repair of rotator cuff tears tend to yield excellent clinical results, poor tissue
quality has been an important factor that has hampered successful outcomes. This Technical Note describes a double-row
rotator cuff repair using a SpeedBridge configuration with dermal allograft “canopy” augmentation to bolster the
repairable but thinned rotator cuff tissue. This technique employs a unique graft fixation strategy to simplify the procedure.
This approach could provide surgeons with a great option when faced with mobile but thinned rotator cuff tissue.