1. Arthroscopic Repair of Rotator Cuff Tears Using Extracellular Matrix Graft 
Gregory J. Gilot, M.D., Ahmed K. Attia, M.D., Andres M. Alvarez, M.D., M.Sc. 
Arthroscopy Techniques 
Volume 3, Issue 4, Pages e487-e489 (August 2014)
DOI: /j.eats
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Arthroscopic evaluation of rotator cuff tear. The tear is measured in the coronal and sagittal dimensions, and untied medial-row sutures are placed on the suture guide.
Arthroscopy Techniques 2014 3, e487-e489DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
(A) Rotator cuff repair is performed with an ECM graft. The sutures are passed through the medial 3 to 5 mm edge of the graft, and the innermost mattress sutures are tied with a sliding-locking knot. (B) The ECM graft is advanced into an 8.25-mm clear cannula with a blunt trocar, and the surgeon slides the knot onto the repair; the remaining sutures are tied in a load-sharing fashion, adding the graft to the rotator cuff tear.
Arthroscopy Techniques 2014 3, e487-e489DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
A suture-bridge technique is used to complete the repair. The final arthroscopic view of a complete massive rotator cuff repair using ECM graft augmentation is shown. The graft is incorporated using a medial-row load-sharing technique.
Arthroscopy Techniques 2014 3, e487-e489DOI: ( /j.eats )
Copyright © 2014 Arthroscopy Association of North America Terms and Conditions