Abstract
In the long-term follow-up a successful arthroscopic rotator cuff reconstruction is not solely dependent on the technical restoration of the muscle-tendon-bone-continuity but also on various other factors. In addition to a correct and gentle surgical technique, biological factors such as musculotendineous quality of the rotator cuff and bone quality of the footprint may play an important role for the surgical outcome. In this context, fatty infiltration, atrophy, and retraction of the ruptured rotator cuff as well as tendon degeneration and osteopenia of the insertion area have to be considered. In addition, suture techniques and suture anchor placement must be based on biomechanical principles to avoid technical failure of the refixation.
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