We have had significant progress in improving the biomechanical strength of arthroscopic rotator cuff repairs over the past 3 decades. The field has advanced from simple suture repairs to double-row, transosseous, massive cuff and rip-stop constructs. I do think our focus next should be on improving the biology of tendon healing to improve our clinical outcomes.
Ma, C. B. (2017, September 1). Editorial Commentary: Success of Rotator Cuff Healing—Do We Need to Improve on the Strength Anymore? Arthroscopy - Journal of Arthroscopic and Related Surgery. W.B. Saunders. https://doi.org/10.1016/j.arthro.2017.06.017