"Shoe Shop" Lacing Technique: A New Biceps-Augmented Knotless Suture for Arthroscopic Rotator Cuff Repair.

Advancements in rotator cuff tear repair have led to innovative techniques for complex cases. In this article, we introduce the "shoe shop" lacing technique, a knotless, side-to-side, and tendon-to-bone suture method augmented with the long head of the biceps tendon (LHBT) for anterior margin-deficient massive rotator cuff tears. This approach offers simplicity, durability, and potential advantages in biomechanics. The LHBT integration and knotless sutures make it a promising solution for challenging tear patterns. This technique provides an attractive option for arthroscopic repair, improving outcomes in cases where anterior cable reinforcement is essential.

© 2024 The Authors.

The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Y.L. reports a relationship with Move up that includes royalties or licenses or consulting and a relationship with Arthrex that includes consulting. L.N. reports a relationship with Arthrex (consulting) Stryker (consulting and royalties), SpartaBiopharma (equity or stocks) and Statera (equity or stocks). All other authors (R.B., A.F.S., A.L.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.