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 of the tear

9. Checking the mobility and elasticity of the tendons

10. Acromioplasty

11. Mobilization of the Articular Part of the Rotator Cuff

12. Tuberoplasty

13. 1 st Anchor Insertion – Medial Row

14. 1 st suture passage- Medial row - mattress

15. 2 nd suture passage- Medial row - mattress

16. 4rd suture passage- Medial row - mattress

17. 2 nd Anchor Insertion – Medial Row

18. suture passage- Medial row – post. anchor

20. Suture inspection – medial row - mattress

21. Lateral Row 1 st Anchor Insertion

22. Lateral Row Suture Passage

24. Lateral Row 2 nd Anchor Insertion

25. Lateral Row Suture Passage

26. Inspection of all the sutures

27. Knot Tying Lateral Row

28. Knot Tying Mattress Medial Row

30. 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