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1. Technique of double row
rot cuff repair
Manos Antonogiannakis
Director
Center for shoulder arthroscopy
IASO General Hospital
Athens, Greece

2.  44 year old
 Over head worker
Pain after a fall 30 days ago
 Pain and inability to raise his arm
 MRI: complete tear of supraspinatus
extending to infraspinatus

3. Joint Side Inspection

4. Bursal Side Inspection-Bursectomy

5. Bursa excision – Tendon mobilization

6. Tendon debridement- Tear morphology
recognition

7. Tendon debridement

8. Final Inspection

9. Checking the mobility and
elasticity of the tendons

10. Acromioplasty

11. Mobilization of the Articular
Part of the Rotator Cuff

12. Tuberoplasty

13. 1st
Anchor Insertion – Medial Row

14. 1st
suture passage- Medial row - mattress

15. 2nd
suture passage- Medial row - mattress

16. 4rd suture passage- Medial row - mattress

17. 2nd
Anchor Insertion – Medial Row

18. suture passage- Medial row – post. anchor

19. suture passage- Medial row – post. anchor

20. Suture inspection – medial row - mattress

21. Lateral Row 1st
Anchor Insertion

22. Lateral Row Suture Passage

23. Lateral Row Suture Passage

24. Lateral Row 2nd
Anchor Insertion

25. Lateral Row Suture Passage

26. Inspection of all the sutures

27. Knot Tying Lateral Row

28. Knot Tying Mattress Medial Row

29. Knot Tying Mattress Medial Row

30. Knot Tying Lateral Row

31. Knot Tying Lateral Row

32. Knot Tying Mattress Medial Row

33. Final Repair

34. Inspection from the
Glenohumeral Joint

35. Thank you for your attention