Arthroscopic knot tying in rotator cuff repair

Due to the rapid evolution and wide availability of the special technology of arthroscopic rotator cuff repair more and more surgeons switch from the open to the arthroscopic approach in the management of even complex cuff tears. However the operative technique is still demanding and requires special skills, such as a precise analysis of the type of the lesion and the handling of specialized instruments and refixation systems. It is absolutely mandatory for every surgeon, to be able to tie arthroscopic knots even in difficult situations of the procedure. This paper gives an overview on the current state of the technology of arthroscopic knot tying in arthroscopic rotator cuff repair.