All-arthroscopic rotator cuff repair.

All-arthroscopic rotator cuff repair has evolved into a viable surgical option, with outcome results equal to that of mini-open and open rotator cuff repair, with less perioperative morbidity and is driven by patient demand. The technique has required refinement of arthroscopic surgical techniques, and further advances from industry to provide alternative tools and techniques to make the procedure technically easier. This manuscript discusses all aspects of arthroscopic rotator cuff repair, and covers the evolution of the technique and provides a step-by-step technique to be used to accomplish a successful rotator cuff repair.