Table of Contents
Advances in Orthopedic Surgery
Volume 2015, Article ID 423949, 7 pages
Clinical Study

A Simplified Approach for Arthroscopic Repair of Rotator Cuff Tear with Dermal Patch Augmentation

Lakeshore Bone and Joint Institute, 601 Gateway Boulevard, Chesterton, IN 46304, USA

Received 26 September 2014; Revised 30 December 2014; Accepted 5 January 2015

Academic Editor: Padhraig O’Loughlin

Copyright © 2015 Anthony C. Levenda and Natalie R. Sanders. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Here, we describe an arthroscopic method specifically developed to augment rotator cuff repair using a flexible acellular dermal patch (ADP). In this method, an apparently complex technique is simplified by utilizing specific steps to augment a rotator cuff repair. In this method, using a revised arthroscopic technique, rotator cuff repair was performed. This technique allowed easy passage of the graft, excellent visualization, minimal soft tissue trauma, and full four-corner fixation of an ADP. Twelve patients underwent rotator cuff repair with augmentation using the combination of this method and ADP. Due to the technique and biomechanical characteristics of the material, the repairs have been stable and with high patient satisfaction.