Preventing Failure in Primary Rotator Cuff Repair

For the indicated patient with a rotator cuff tear, surgical reconstruction can result in a reliable restoration of prior levels of activity. The best opportunity for an anatomic reconstruction to maximize the functional outcome undoubtedly occurs with the primary repair. Patient selection, tissue quality, surgical technique, and rehabilitation all play vital roles in the success of the index procedure. This article review the concepts important to the success of primary rotator cuff repairs.