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Dr. Garcia update rotator cuff repair technique.
Dr. Garcia specializes in complex knee, shoulder and elbow sports surgeries. He has prepared a number of surgical videos below to help patients better understand their procedures. He is frequently updating his surgical video database so check back soon for further updates.
This video features Dr. Grant Garcia demonstrating his refined arthroscopic technique for a Double-Row Knotless SpeedBridge Rotator Cuff Repair utilizing high-efficiency, self-punching knotless SwiveLock anchors.
The main clinical focus of this procedure is to establish rapid, high-strength footprint compression while highlighting an elegant method to eliminate edge folding ("dog-ears") without needing extra hardware.
Key Surgical Phases
- Medial Row Anchor Placement: Dr. Garcia targets the medial edge of the humeral footprint using two 2.6 mm FiberTack anchors. These advanced constructs feature integrated fiber tapes alongside a specialized knotless loop mechanism.
- Medial Row Anchor Placement: Dr. Garcia targets the medial edge of the humeral footprint using two 2.6 mm FiberTack anchors. These advanced constructs feature integrated fiber tapes alongside a specialized knotless loop mechanism.
- Self-Punching Lateral Row Fixation: Shifting to the lateral row, Dr. Garcia introduces all-PEEK (polyetheretherketone) self-punching SwiveLock anchors. Because these anchors can be driven directly through bone without pre-drilling or tapping a pilot hole, they significantly decrease surgical time and preserve local bone density.
- Intraoperative Dog-Ear Reduction: While tensioning the anterior lateral row, a tissue wrinkle or "dog-ear" becomes apparent at the tendon's edge. Dr. Garcia leverages the micro-adjustable, knotless mechanism of the SwiveLock anchor to precisely tension the loose margin, flattening the dog-ear completely down against the bone.
- Crossover SpeedBridge Finalization: The remaining suture limbs and tapes are tensioned across the footprint in a crisscross fashion. They are driven into a final posterolateral self-punching anchor, finishing a robust, double-row grid construct.
The Mechanical Result: The self-punching SpeedBridge construct provides maximum compression across the entire humeral footprint. Eliminating the dog-ears prevents subacromial impingement, while the completely knotless design lowers the profile of the repair to foster excellent, biological tissue-to-bone healing.
