Arthroscopic Transosseous Rotator Cuff Repair Using Bone Tunneling Device.

Rotator cuff injuries are a common cause of shoulder pain, primarily affecting individuals older than 40 years, with the incidence increasing progressively with age. Advancements in surgical techniques have led to the development of arthroscopic techniques. This evolution has transitioned through various arthroscopic suture anchor rotator cuff repair configurations, including single-row, double-row, and transosseous-equivalent constructs. Although these innovations have replicated the biomechanics of the original transosseous technique conducted using an open approach, they often require multiple anchors, significantly increasing surgical costs. Additionally, anchor-related complications persist. To enhance the feasibility and affordability of implant-free transosseous repair, a reusable instrumentation system, was developed by Drillbone (Brno, Czechia). This innovative device facilitates robust and reproducible transosseous rotator cuff repairs while substantially reducing procedural costs. We present a surgical technique using bone tunneling device, showing its application in arthroscopic rotator cuff repair.