Arthroscopic transosseous (anchorless) rotator cuff repair

Raffaele Garofalo, Alessandro Castagna, Mario Borroni, Sumant G. Krishnan

Research output: Contribution to journalArticlepeer-review


The traditional open transosseous rotator cuff repair gives excellent results for the fixation of tendon to bone and has represented the gold standard for rotator cuff surgery with excellent long-term results. In the last few years, different arthroscopic techniques using suture anchors have been developed to increase the tendon-bone contact area in an attempt to reconstitute a more anatomic configuration of the rotator cuff footprint while providing a better environment for tendon healing. However, the anchor-based techniques have still not replicated the traditional open transosseous repair. A surgical technique that allows surgeons to perform a standardized arthroscopic transosseous (anchor free) repair of rotator cuff tears using a new disposable device is described. With this system, it is possible to perform a transosseous technique in a reproducible fashion. This novel technique combines the clinical advantages of minimally invasive arthroscopic surgery and the biomechanical advantages of open transosseous procedures. Level of evidence V.

Original languageEnglish
Pages (from-to)1031-1035
Number of pages5
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Issue number6
Publication statusPublished - Jun 2012


  • Anchorless
  • Arthroscopic rotator cuff repair
  • Rotator cuff tear
  • Shoulder
  • Transosseous

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery


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